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Environmental Health Department <br />Time of Fvent: 10AM to 9PM <br />Number of dumpsters: 1 <br />1. <br />2 <br />Event Coordinator <br />5. <br />6. <br />□ No <br />□ No <br />□ No <br />1868 E Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />06/19/19 <br />C/Yes <br />Q'Yes <br />□fves <br />SAc'o! <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: 4--------------------------------- <br />Name of sanitary garbage disposal company: City of Manteca <br />Method of disposal of liquid waste for food booths: As per vendor <br />GENERAL EVENT FILE INFORMATION <br />1. <br />2. <br />3. <br />4. <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />5 <br />6 <br />APPLICATION <br />following to the Environmentat Health Department two weeks prior to the event: <br />Temporary Event Application <br />Application Review Fee of $156 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Department wrth all <br />of the Food Vendor’s Applications no later than two weeks poor to event <br />Submit the <br />a) <br />b) <br />c) <br />d) <br />e) <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 <br />Environmental Health Department with all Food Vendor’s Applications no later than two weeks poor 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 />Name of Event. Durga Pooja <br />Date(s) of Event Sep 24 and Sep 25 <br />Location: Woodward Park, Manteca <br />Event Coordinator (Name).Sankha Chatterjee Telephone: (408 ) 930 6494 <br />Mailing Address: 1864 Maiden Grass Ave, Manteca 95337 CA <br />Number of Food Booths: 5 <br />Approximate attendance at peak time: 200 Total Attendance: S00_ Average Age: J5 <br />(5 L. ■ 5