Laserfiche WebLink
Environmental Health Department <br />grows <br />1. <br />2. <br />3. <br />4. <br />5. <br />5006.Total Attendance: <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />15.Number of dumpsters: <br />6. <br />APPLICATION <br />1. <br />2. <br />June 4 ,2025Event Coordinator: Date: <br />Temporary Event Application <br />Application Review Fee of $152 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br /> Yes <br /> Yes <br /> Yes <br />0 No <br />0 No <br />0 No <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health D <br />of the Food Vendor’s Applications no later than two weeks prior to event <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Pagel of 11 TEMP EVENT APP <br />06/19/19 <br />Submit the following to the Environmental Health Department two weeks prior to the event: <br />a) <br />b) <br />c) <br />d) <br />e) <br />SAN JOAQUIN <br />-COUNTY- <br />Greatness qrows here. <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 a <br />minimum three-hour overtime rate of $684.00 <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 temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Department policies and procedures. <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: 2 <br />Name of sanitary garbage disposal company: SJCFM <br />Method of disposal of liquid waste for food booths: Self Disposal <br />Approximate attendance at peak time: 250 <br />^//V <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: Dameron Thursday Evening Farmers Market <br />Date(s) of Event: Thursdays June - Sept Time of Event:5:00 Pm t0 8:00 Pm g <br />Location:825 W. Acacia St Stockton, CA 95203 <br />Event Coordinator (Name): Chris Dutra Telephone: (209 405-2074 <br />Mailing Address: 4119 Toreno Way Valley Springs, CA 95252 <br />Number of Food Booths: 15______________________________________________________________ <br />Average Age: 88