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Name of Event: <br />Time of Event:9:0Q a.m. - 3 p m <br />Telephone: (209) 613-34794. <br />None5. <br />Average Age:50-50.Total Attendance:50-60 3006. <br />1. <br />2Gilton Garbage Number of dumpsters: <br />6. <br />APPLICATION <br />1. <br />2. <br />September 29, 2024Date:Event Coordinator: <br />2, <br />3, <br />4, <br />5. <br />Date(s) of Event: <br />Location: <br />E Yes <br />0 Yes <br />0 Yes <br />2. <br />3. <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 />a) <br />b) <br />c) <br />d) <br />e) <br />□ No No vendors <br />□ No no vendors <br />□ NO <br />Environmental Health DepartmentSAIWOAOUIN <br />COUNTY <br />Greatness grows here. <br />Holiday Bazaar <br />October 26, 2024 <br />Escalon United Methodist Church <br />Submit the following to the Environmental Health Department two weeks prior to the event: <br />Temporary Event Application <br />Application Review Fee of $156 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <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:3 <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: Two double sinks <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 Page 1 of 11 TEMP EVENT APP <br />06/19/19 <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 ail Food Vendor's Applications no later than two weeks prior to the <br />event. <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 />5 LilM: <br />Event Coordinator (Name): Karen Harris <br />Mailing Address: 2000 Jackson Avenue, Escalon, CA 95320 <br />Number of Food Booths: <br />Approximate attendance at peak time;