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Environmental Health Department <br />1. <br />2. <br />3. <br />4.Telephone: (209.) 487-4517 <br />5. <br />Total Attendance: 15006. <br />2. <br />3. <br />4. <br />LbA5.Number of dumpsters: <br />6. <br />APPLICATION <br />1. <br />2. <br />Temporary Event Application <br />Application Review Fee of $179 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br />standards and the Ei <br />Event Organizer:_ <br />Event Coordinator: <br />SAN JOAQUIN <br />-COUNTY- <br />Greatness grows here. <br /> Yes 4^Lno <br /> Yes pH Mo <br /> Yes ^SMo <br />Submit the following to the Environmental Health Department two weeks prior to the event: <br />a) <br />b) <br />c) <br />d) <br />e) <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $179 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 $805.50 <br />application is to be completed and signed by the Event Coordinator, then returned to the <br />UTILITIES <br />1. <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 ajtemporary event coordinator, I am responsible for meeting California State <br />... — Qvjrcjnpental Hea^pepartment policies and procedures <br />_________________________________________ Date ________________ <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 I www sigov orq/ehd <br />07/01/^5 Pa9e1Of11 <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 />FT7-. >3 <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: I <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: I V ojltK <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: Pride Fest - San Joaquin Pride Center, John Alita <br />Date(s) of Event: 10/4 Time of Event: 10AM-6PM <br />Location: 937 N. Yosemite Street Stockton CA <br />Event Coordinator (Name): Prescilla Ann Fajardo <br />Mailing Address: _______________ <br />Number of Food Booths: 4 <br />Approximate attendance at peak time: 000 Average Age: 28