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Environmental Health Department <br />1. <br />2.Tme of Event:8AM-4PM <br />3. <br />4. <br />5. <br />6.Approximate attendance at peak timeylSOO Totel Attendance: Average Age: 4-50. <br />UTILITIES <br />1.X Yes No <br />2.X Yes No <br />X Yes No3. <br />4. <br />5. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator: SHERRI MACKAY TYSL EVENTS AND FUNDRAISER COORDINATOR Date: 7/16/23 <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: 6 <br />Name of sanitary garbage disposal company: CITY OF TRACY Number of dumpsters: 4 <br />Method of disposal of liquid waste for food booths: SINKS, CONTAINERS <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EH D 16-02 Page 1 of 13 TEMP EVENT APP <br />06/19/19 <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 />Date(s) of Event: SATURDAYS/SUNDAYS 8/19/23-11/14/23 <br />Location: LEGACY FIELDS 2300 N. TRACY BLVD, TRACY, CA 95376 <br />Event Coordinator (Name):SHERRI MACKAY Telephone: (209) 914-1163 <br />Mailing Address: P.O.BOX 187 TRACY CA 95378 <br />Number of Food Booths: 1 SNACK BAR <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 Environmental <br />Health Department with all Food Vendor’s Applications no later than two weeks prior to the event. <br />I understand that as a temporary event coordinator, I am responsible for meeting California State standards <br />and the Environmental Health Department policies and procedures. <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 />GENERAL EVENT FILE INFORMATION <br />Name of Event: TRACY YOUTH SOCCER LEAGUE <br />SANJOAOUIN <br />------COUNTY------- <br />Greatness grows here.