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838-27924. <br />50-60Average Age:30H <br />2. <br />APPLICATION <br />1. <br />2. <br />Date:Event Coordinator: <br />2. <br />3. <br />5. <br />6. <br />3. <br />4. <br />C3 Yes No <br />[xl Yes No <br />S Yes No <br />5. <br />6. <br />Number of dumpsters: Four 90 <br />gal. cans <br />Environmental Health Department <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: Three (3) <br />Name of sanitary garbage disposal company: Gilton <br />Method of disposal of liquid waste for food booths: Twn dnuhle sinks <br />Name of Event: Spaghetti Dinner _ <br />Date(s) of Event: January 7>~) Time of Event: 4:30 - 7:00 p.m. <br />Location:Escalon United Methodist Church______________________ <br />Event Coordinator (Name): Gail Cardoza Telephone: (20^ <br />Mailing Address: 7000 Jarksnn Avenue^ Fscalnn, CA 95320 <br />Number of Food Booths: No hnnfhs <br />Approximate attendance at peak time: 80-100 Total Attendance: <br />GENERAL EVENT FILE INFORMATION <br />1. <br />UTILITIES <br />1. <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 />■—C O U N l Y‘™-~ <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 the <br />hourly rate, calculated at one and one half times ($228 per hour) <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 />Note: Same as previous years - food provided - no booths - using kitchen at church. (Added per Jeff Carrueza <br />td&zt■, _________ Date: H <br />1868 E. Hazelton Avenue | Stockton, California 95205 j T 209 468-3420 j F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />07/3/17