Laserfiche WebLink
GENERAL EVENT FILE INFORMATION <br />Name of Event: Christmas in the Park1. <br />Time of Event Dec 2: 5-1 Opm, Dec 3: 10-10pm2. <br />3. <br />Telephone: ( 209 ) 823-61214. <br />5. <br />Approximate attendance at peak time:400 Total Attendance:800 Average Age: 306. <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />Number of dumpsters 5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Date: //Event Coordinator: <br />Page 1 of 11 TEMP EVENT APPEHD 16-02 <br />8/1/14 <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 />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: <br />Name of sanitary garbage disposal company: J <br />Method of disposal of liquid waste for food booths: ( <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 />Date(s) of Event: Dec. 2, Dec 3 2016 <br />Location: 100 Manteca Ave, Manteca 95336 <br />Event Coordinator (Name):Joann Beattie <br />Mailing Address: 183 W. North St, Ste 6, Manteca, CA 95336 <br />Number of Food Booths:8_____________________ <br />San Joaquin Coun’ <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 />If the event is selected for inspection, the Event Coordinator will be billed for inspection 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 />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 />I understand that as a temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental HealttiDepartment policies and procedures. <br />JS Yes No <br /> Yes .0 No <br /> Yes Eil No <br />O )