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RECEIVED <br />1. <br />2. <br />3. <br />597-0379Telephone: (20§)4. <br />5. <br />6.Approximate attendance at peak time: <br />2. <br />3. <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator: Kristin Barrios, District Manager 09/03/2019Date: <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 /> No <br /> No <br />SEP 0 $E$Wironmental Health Department <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Pagel of 11 TEMP EVENT APR <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 />SAN JOAQUIN <br />'COUNTY <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 />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 Environmental Health Department policies and procedures. <br />UTILITIES <br />1. <br />Event Coordinator (Name): <br />Mailing Address: 20 W. 11th St. Tracy, CA 95376 <br />Number of Food Booths: ■ Speer BBQ <br />1,800 <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: Downtown Tracy Wine Stroll <br />Date(s) of Event: Saturday, September 21,2019 Time of Event: 5:00pm to 8:00pm <br />Location Downtown Tracy- 10th St. <br />Kristin Barrios <br />Average Age: + YQTotal Attendance: 1,800 <br />I <br />Is potable water supplied and available for each food vendor: ^Yes <br />Is electricity supplied and available for each food vendor: SfYes <br />Are janitorial facilities available: Yes i^No <br />Number of toilets provided: 6 portables: 3 standard, 3 handicap + 6 hand-washing stations <br />Name of sanitary garbage disposal company: Tracy Disposal Number of dumpsters: 1-6 yard + 30 <br />Method of disposal of liquid waste for food booths: cardboard <br />----------------------- garbages