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.Aug. 23. 20 1 8 12:07PM No. 5135 P. 3 <br />GENERAL EVENT FILE INFORMATION <br />Brews & BBQ 7th Street Pre-Party1. <br />Time of Event: 6:00pm-7:30pm9/14/182. <br />3. <br />4. <br />5. <br />200 Average Age: 35Total Attendance:6. <br />UTILITIES <br />1. <br />4. <br />3Number of dumpsters: <br />APPLICATION <br />1. <br />2. <br />Date: Event Coordinator: <br />2. <br />3. <br /> No <br /> No <br /> No <br />5. <br />6. <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <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 />^Yes <br />H^es <br />afves <br />Name of Event: <br />Date(s) of Event: <br />Location: Grand Theatre Center for the Arts 7th Street <br />Event Coordinator (Name): Kim Scarlata <br />Mailing Address: 715 Central Ave Tracy, Ca 95376 <br />Number of Food Booths: j <br />Approximate attendance at peak time: fipm <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 $130 <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 and travel time: <br />• $130 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 ($195 per hour) <br />Tracy Disposal Service <br />N/A <br />I understand that as a temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Deoartnvent j <br />Received Time Aug. 23. 2018 12:1 1 PM No. 4035 <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 />Telephone: (ppg)631-6205 <br />nt policies and procedures. <br />/ TEMP EVENT APP <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: <br />Method of disposal of liquid waste for food booths: