Laserfiche WebLink
RECEIVED <br />Environmental Healtl^^e^^j»ient <br />5 <br />Name of Event: <br />Time of Event: 9:00 a.m. - 3:00 p.m.2. <br />3. <br />838-27924. <br />5. <br />50-60Average Age:Total Attendance:3006. <br />2. <br />3. <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Date:Event Coordinator: <br />S Yes <br />® Yes <br />3 Yes <br /> No <br /> No <br /> No <br />Number of dumpsters: Four 90 <br />gal. cans <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <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 />Telephone: (20^ <br />p, Escalon, CA 95320______________ <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 />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: Three (3) <br />Name of sanitary garbage disposal company: Qilton <br />Method of disposal of liquid waste for food booths: Two dniihle sinks <br />GENERAL EVENT FILE INFORMATION <br />1. <br />UTILITIES <br />1. <br />SAN JOAQUIN <br />COUNTY <br />Greatness grows here. <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 />Note: Same as previous years - food provided - no booths - using kitchen at church. (Added per Jett Carruezci <br />_________________ Date:_______~ _________ <br />1868 E. Hazelton Avenue I Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />07/3/17 <br />Holiday Bazaar___________________ <br />Date(s) of Event: CO r 1. 2Qi8 <br />Location: Escalon United Methodist Church <br />Event Coordinator (Name): Judy Downard <br />Mailing Address: 2000 Jackson Avenn <br />Number of Food Booths: No booths <br />Approximate attendance at peak time: 50-60