Laserfiche WebLink
Environmental Health Department <br />Total Attendance: /Average Age: <br />APPLICATION <br />1. <br />2. <br />Date: Event Coordinator: <br />3. <br />4. <br />5. <br />6. <br />M Yes <br /> Yes <br />•tzTYes <br /> No <br />^yNo <br /> No <br />Name of Event: <br />Date(s) of Event: <br />Location: <br />Event Coordinator (Name): 6 <br />Mailing Address: _______ <br />Number of Food Booths: <br />Approximate attendance at peak time: <br />Number of dumpsters: <br />SAN JOAOUIN <br />-----COUNT Y------ <br />Grt'atness i/ro’.vs ri.?re <br />GENERAL EVENT FILE INFORMATION <br />1. <br />2. <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgovWehd^ <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:// <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: Sinks (7 Ua. i iflSid <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 />TA/s 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 Environmental Health Department policies and procedures. <br />big de- I os Kae-rios <br />. ficJtfaef ^^Time of Event p_L4j <br />t c/Telephone: