Laserfiche WebLink
GENERAL EVENT FILE INFORMATION <br />1.Name of Event: <br />2. <br />3. <br />Telephone: (2Q9) 941 -18804. <br />5. <br />1200 40Average Age:Total Attendance:6. <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />Number of dumpsters: 1 (120 yds)5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Miriam Delgado 01-04-16Event Coordinator:Date: <br />TEMP EVENT APRPage 1 of 11 <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 no later than two weeks prior to the <br />event. <br />I understand that as a temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Department policies and procedures. <br />EHD 16-02 <br />08/01/16 <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 $139 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />Date(s) of Event: <br />Location: <br />[X] Yes <br />[x] Yes <br />[X] Yes <br />□ No <br />□ No <br />□ No <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $139 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 ($208.50 per hour) <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 />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: 5 male, 5 female <br />Name of sanitary garbage disposal company: Lodi Grape Festival <br />Method of disposal of liquid waste for food booths. Provided by trucks <br />The Lodi Home & Garden Show <br />January 20-22, 2017 Time of Event: Fri:12 PM-5 PM, Sat & Sun: 10 AM-5 PM <br />Lodi Grape Festival Grounds, 413 E Lockeford St, Lodi, CA 95240 <br />Event Coordinator (Name): Miriam Delgado <br />Mailing Address: PQ Box 8126, Stockton, CA 95208 <br />Number of Food Booths: 14____________ <br />Approximate attendance at peak time: 400