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Environmental Health Department <br />1. <br />NOON-MIDNIGHT2. <br />3.209-369-2771)Telephone: (4. <br />5. <br />4570,00010,000 Total Attendance:Average Age:6. <br />2. <br />3. <br />4. <br />14Number of dumpsters:5. <br />6. <br />APPLICATION <br />1. <br />2. <br />JULY 27, 2023Date:Event Coordinator: <br />□ No <br />□ No <br />□ No <br />SAN JOAQUIN <br />; ■ • i.' I / <br />(rfves <br />E/fves <br />Ea/ycs <br />no later than two weeks prior to the <br />GENERAL EVENT FILE INFORMATION <br />LODI GRAPE FESTIVAL <br />SEP 14-17,2023 <br />CAL WASTE <br />CITY SEWER <br />UTILITIES <br />1. <br />1868 E. Hazelton Avenue | Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 | wmv si0^^KJr,p <br />06/29/2023 <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 $162 <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 />• $162 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 $729.00 <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 - • ‘ <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 />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 />Name of Event: <br />Date(s) of Event: SEP 14-17,2023 Time of Event: <br />Location: 413 E. LOCKEFORD ST, LODI, CA. 95240 <br />Event Coordinator (Name): MARK ARMSTRONG <br />Mailing Address: PO BOX 848, LODI, CA. 95241 <br />Number of Food Booths: 33______ <br />Approximate attendance at peak time: <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 />55 Number of toilets provided: <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: