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Environmental Health Department <br />Name of Event.1. <br />2. <br />3. <br />4. <br />5. <br />Total Attendance: <3016. <br />2. <br />3. <br />4.w5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator: Date: <br />mil' <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 $179 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br /> No <br /> No <br /> No <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 />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: 1W <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: <br />SAN IOAOUIN <br />( O U N 1 Y <br />[^Yes <br />©Yes <br />S3 Yes <br />UTILITIES <br />1. <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 />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 Environ^^i^H^Hh Department policies and procedures. <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />Pagel of 11 —. TEMP EVENT APP <br />Number of dumpsters: w <br />GENERAL EVENT FILE INFORMATION <br />TJDUi ftumicrSutta___________________ <br />Date(s) of Event: foAtyKT 1^1 W-^Fime of Event:__iQAfrV f-'M <br />Location: V\^iA Hl Ch eft <br />Event Coordinator (Name): UrfAkVAlM Telephone 3 'j'l I <br />Mailing Address: CMC ( <br />Number of Food Booths: w <br />Approximate attendance at peak time: Average Age: