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ier <br />2. <br />3. <br />4. <br />5. <br />6. <br />2. <br />3. <br />4. <br />Number of dumpsters: 5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator <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: <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 /> Yes <br />[^Yes <br />[Y] Yes <br /> No <br /> No <br /> No <br />Environmental Health DepartmentSAN JOAQUIN <br />COUNTY <br />Great <br />Name of Event: A, <br />Date(s) of Event: <br />Location: k. > 1 . VW ■|-J <br />Event Coordinator (Name): ^>1 in.. T’f.TAr <br />Mailing Address: <br />Number of Food Booths: <br />Approximate attendance at peak time: Total Attendance: OOP Average Age: -CU <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Department^tffet^y-. <br />of the Food Vendor’s Applications no later than two weeks prior to event <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 />GENERAL EVENT FILE INFORMATION <br />1. <br />UTILITIES <br />1. <br />ess grow <br />Date: ^3/ I t---------- <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 />06/19/13 <br />7XI r/vikr^V. o/GrrZ _____________________ <br />V-.ti._________Telephone: (2(Zj) I <br />Lyx/ SVxajj-7iaJ flcoJ <br />Time of Event:. il.W < vw 'CJ^ ■