Laserfiche WebLink
Environmental Health Department <br />1. <br />2.Saturday, March 24, 2018 Time of Event:11am-6pm <br />3. <br />4.Telephone: ( 209 ) 466-3976 <br />5. <br />6.Approximate attendance at peak time:400 Total Attendance:1,000 Average Age: 30 <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />5. <br />6, <br />1. <br />2. <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 />□ Yes <br />KI Yes <br />KI Yes <br />□ No BOTTLED WATER ONLY <br />□ No <br />□ No <br />1868 E. Hazelton Avenue | 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 />Date(s) of Event: <br />Location: 2029 E. Harding Way, Stockton, CA 95205 <br />Event Coordinator (Name):Penni McConnell <br />Mailing Address: 2029 E. Harding Way, Stockton, CA 95205 <br />Number of Food Booths:_______7_____________________ <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 />SAN JOAQUIN <br />COUNTY------ <br />Greatness gro^s here. <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: _5 <br />Name of sanitary garbage disposal company: Republic Services Number of dumpsters: 2 <br />Method of disposal of liquid waste for food booths: Return to purchase container and transport offsite to San <br />Joaquin County Household Hazardous Waste Center located at 7850 R.A, Bridgeford Street <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 />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 />Stockton, CA 95206 <br />APPLICATION <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: Central Valley Black Expo