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Environmental Health Department <br />1. <br />2. <br />3. <br />4. <br />5. <br />Average Age: 35Total Attendance: 2,5006. <br />2. <br />3. <br />4. <br />45. <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator:1 <br /> Yes <br /> Yes <br /> Yes <br /> No <br /> No <br /> No <br />SANmIOAOUIN <br />-----COUNTY------ <br />Greatness grows here. <br />no later than two weeks prior to the <br />•?' : T L V' <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: LODI BEER FEST & STATE BBQ CHAMPIONSHIP <br />Date(s) of Event: APRIL 21, 2018 Time of Event: 1PM TO 5PM <br />Location: LODI GRAPE FESTIVAL GROUNDS, 413 E. LOCKEFORD STREET, LODI CA 95240 <br />Event Coordinator (Name): LODI GRAPE FESTIVAL Telephone: (209) 369-2771 <br />Mailing Address: P.O. BOX 848, LODI ,CA 95241 <br />Number of Food Booths: <br />Approximate attendance at peak time: 2,000 <br />UTILITIES <br />1. <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Department with all <br />of the Food Vendor’s Applications no later than two weeks prior to event <br />am responsible for meeting California State <br />policies and procedures. r , <br />1868 E. Hazelton Avenue I Stockton, California 95205 | T 209 468-3420] F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Pagel of 11 TEMP EVENT APR <br />07/3/17 <br />Is potable water supplied and available for each food vendor: <br />Is electricity supplied and available for each food vendor: <br />Are janitorial facilities available: <br />Number of toilets provided: FOUR PERMANENT RESTROOMS, FOUR PORTABLE RESTROOMS <br />Name of sanitary garbage disposal company: CALIFORNIA WASTE Number of dumpsters: <br />Method of disposal of liquid waste for food booths: CITY SEWER <br />Submit the following to the Environmental Health Department two weeks prior to the event: <br />a) Temporary Event Application <br />b) Application Review Fee of $152 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $152 per hour (weekdays 8:00 am to 5:00 pm) <br />• After regular business hours (weekday, weekends and holidays) the inspection is charged at the <br />hourly rate, calculated at one and one half times ($228 per hour) <br />This application is to be completed and signed by the Event Coordinator, then returned to the <br />Environmental Health Department with all Food Vendor’s Applications <br />event, <br />I understand that as a temporary event coordinator, I <br />standards and the Environmental Health Departm <br />L