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1. <br />2. <br />3. <br />4. <br />5. <br />Average Age: YC)6.Total Attendance: <br />UTILITIES <br />1. <br />2. <br />3. <br />/<?4. <br />5.Number of dumpsters: <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator: Date: <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 $179 <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 /> No <br />Environmental Health Department <br />//■ — —> <br />_c.:-ou^ co <br />Yes <br />EzfYes <br />Yes <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $179 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 $805.50 <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 />Name of Event: <br />Date(s) of Event: rO(A( A 2-0 2^1/' <br />Location: 6 '^s <br />Event Coordinator (Name):. Telephone: ( <br />Mailing Address: 1^03^ 'ft' ^/S30'^1 <br />Number of Food Booths: <br />Approximate attendance at peak time: <br />"I CCQ C Movalt/in Awanno I /''olifrxmio I T OHO AQfi-'iAOCi I C 900 /RX-H'IQQ I cirtz-w/ z-xm/nk>r4 <br />/J /rT <br />________________________Time of Event: <br />Of '7^'^ 6/W 'C/H'd, <br />'7^-z <br />’6 2026 <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Department with an <br />of the Food Vendor’s Applications no later than two weeks prior to event <br />SAN,JOAQUIN <br />-----COUNTY------ <br />Greatness grows here.