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Environmental Health Department <br />2. <br />3. <br />Telephone: ( 209-479-22774. <br />5. <br />1000Total Attendance:6. <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Date:Event Coordinator:\ <br />0 Yes <br />0 Yes <br /> Yes <br /> No <br /> No <br />0 No <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 $156 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />SAN JOAQUIN <br />-----COUNTY------ <br />Greotness 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. <br />UTILITIES <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: <br />Name of sanitary garbage disposal company: Gilt°n <br />Method of disposal of liquid waste for food booths: <br />1868 E. Hazelton Avenue I Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 pa9e 1 Of 11 TEMP EVENT APR <br />06/19/19 <br />ry event coordinator, I am responsible for meeting California State <br />HealthDe^tment policies and procedures. <br />Number of dumpsters: <br />Community Dumpsters <br />Time of Fvent:7/14 3:00- 11:00 7/15 10:00 - 11:00 <br />I.,4 5 <br />Name of Event: Escalon Park Fete <br />Date(s) of Event: July 14 & 15 2023 <br />Location: Main Street Park <br />Event Coordinator (Name): Escalon Lion s Club <br />Mailing Address: 20337 Saint John Rd <br />Number of Food Booths: 9 <br />Average Age: 20-40Approximate attendance at peak time: 500 <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $156 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 $702.00 <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 tempo <br />standards and the’Ehvironment; <br />\ \ ✓ n