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&t%e_"k4-/ at_ 6 0 3,9, 3 5 <br /> t�?s/Z-I/-z � <br /> SANdOAQU [N Environmental Health Department <br /> COUNTY <br /> °1trFOP�'`- Greatness grows here. <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 /> GENERAL EVENT FILE INFORMATION <br /> 1. Name of Event: Manteca Spring Fair <br /> 2. Date(s) of Event: May 29 - June 7, 2026 Time of Event: 4-10 weekdays; 1-10 weekends <br /> 3. Location: The Promenade Shop at Orchard Valley, 1422 Grove Ave, 95337 <br /> 4. Event Coordinator(Name): Midway of Fun Telephone: (916j803-4851 <br /> Mailing Address: 9700 Fair Oaks Blvd, Suite J Fair Oaks CA 95628 <br /> 5. Number of Food Booths 3 <br /> 6. Approximate attendance at peak time: 1001 daY Total Attendance: Average Age: 30-40 <br /> UTILITIES <br /> 1. Is potable water supplied and available for each food vendor: ® Yes ❑ No <br /> 2. Is electricity supplied and available for each food vendor: ® Yes ❑ No <br /> 3. Are janitorial facilities available: ® Yes ❑ No <br /> 4. Number of toilets provided: 8 <br /> 5. Name of sanitary garbage disposal company: Prime Dumpster Number of dumpsters: 1 40-yard <br /> 6. Method of disposal of liquid waste for food booths: Gray water tank <br /> APPLICATION <br /> 1 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$179 <br /> c) Temporary Food Vendors Applications for each booth <br /> d) Temporary Event Site Plan <br /> e) Food Vendor List <br /> 2. If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br /> • $179 per hour(weekdays 8:00 am to 5:00 pm) <br /> • After regular business hours (weekday, weekends and holidays)the inspection is charged at a <br /> minimum three-hour overtime rate of$805.50 <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 /> 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 /> Event Coordinator: Date: 5/21/2026 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EH❑16-02 Page 1 of 11 TEMP EVENT APP <br /> 07101/2025 <br /> I QJy0 2_Jy <br />