Laserfiche WebLink
Environmental Health Department <br />Name of Event: <br />2.Time of Event: <br />3. <br />Telephone: (76^-455-39304. <br />ch5. <br />Approximate attendance at peak time:Total Attendance:6. <br />UTILITIES <br />1. <br />2. <br />3. <br />Three (3)4. <br />Gilton5.Number of dumpsters: <br />Two double sinks6. <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 />Event Coordinator (Name): <br />Mailing Address: <br />Number of Food Booths: <br />Date(s) of Event: <br />Location: <br /> Yes <br />0 Yes <br /> Yes <br /> No <br /> No <br /> No <br />CP <br />03 <br />CO <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 />07/01/2025 <br />SAN JOAQUIN <br />—COUNTY—— <br />Greatness grows here. <br />( /to <br />Average Age: <br />3-90 gallon <br />cans <br />Escalon United Methodist Church Annual Omelet Dinner <br />September 27, 2025 Timp nf Fvpnt. 4:30 pm to 7:00 pm <br />2000 Jackson Avenue, Escalon, CA <br />Marilyn Boyle <br />2000 Jackson Avenue, Escalon, CA 95320 <br />CJT <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 />; .- - <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 />1. <br />m <br />Submit the following to the Environmental Health Department two weeks prior to the event: -J <br />a) Temporary Event Application <br />b) Application Review Fee of $179 3 m <br />c) Temporary Food Vendors Applications for each booth m 5 <br />70d) Temporary Event Site Plan <r- <br />e) Food Vendor List m^ <br />■x. <br />No booths - event is held in social hall of cj <br />80 140