Laserfiche WebLink
4 <br />Environmental Health Department <br />1. <br />2. <br />3. <br />4. <br />5. <br />MO Average Age: 6. <br />Yes1. <br />2. <br />3. <br />54. <br />Number of dumpsters: 5. <br />6. <br />APPLICATION <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 $156 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <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 />Event Coordinator (Name):, <br />Mailing Address: J <br />Number of Food Booths: <br /> Yes <br />Yes <br /> No <br />No <br /> No <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 temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Department policies and procedures. <br />Event Coordinator: Ort.: <br />1868 E. Hazelton Avenue | 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 />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: <br />Method of disposal of liquid waste for food booths: <br />4-Approximate attendance at peak time: <br />SAN»JOAOUIN <br />-----COUNTY------ <br />Greatness grows here. <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: &/LFF//O fimA-________________,_________ <br /> Date(s) of Event: > ■ 1'2' / 7^^ Time of Event: ~ <br />Location: WU % / I If <br />(Name):mpf QhTDMLA__ __Telephone: <br />(( iaZIE3E_SZ5^ ' (giPCCTL), cX <br />Vi* ‘Yt/f^Total Attendance: