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No. 0324 P. 1Aug. 11. 202 1 5:26PM <br />Environmental Health Department <br />Telephone: (209) 832-66Q0 ext 4011 <br />Average Age: 251,500Total Attendance; <br />APPLICATION <br />1. <br />2. <br />Date: 8/0/2021Event Coordinator: <br /> No <br /> No <br /> No <br />5. <br />6. <br />" I’! <br />■^Yes <br />S^Yes <br />sT/es <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; 16 <br />Name of sanitary garbage disposal company: Tracy Delta _ _Number of dumpsters: 5 <br />Method of disposal of liquid waste for food booths: Janitorial Closet - Utility Sink <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 a <br />minimum three-hour overtime rate of $684.00 <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 />GVQflt <br />runderstand that as a temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Department policies and procedures. <br />GENERAL EVENT FILE INFORMATION <br />1. <br />2. <br />3. <br />4. <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />T SANJOAQUIN <br />'! -----COUNTY------ <br />Greotness tjiows hero. <br />1868 E. Hazelton Avenue ) Stockton, California 95205 ] T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />Rece i vej.Jjme Aug. 11. 202 1 5:1 5 PM No. 6859 PH9e1or11 <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 />Name of Event: Kimball High School Football Games Snack-Bar . <br />Date(s) of Event: 8/27/21 ■ 9/3/21,9/17/21, 9/24/21,10/15/21 Time of Event: 5:Q0 p.m. <br />Location: Kimball High School Stadium _____ <br />Event Coordinator (Name): Ben Keller (Principal) <br />Mailing Address: 3200 Jaguar Run. Tracy, CA 9537Z <br />Number of Food Booths: 1 <br />Approximate attendance at peak time: 1,000