Laserfiche WebLink
Environmental HealthDepartment <br />0 <br />1. <br />2. <br />3. <br />320-2672Ava Simpson Telephone: (916)4. <br />i5. <br />21100200Total Attendance:6.Approximate attendance at peak time:Average Age: <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />Waste Management 15.Number of dumpsters: <br />sewer6. <br />APPLICATION <br />1. <br />2. <br />8/30/2018Event Coordinator: Date: <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 />0 Yes <br /> No <br /> No <br /> No <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />07/3/17 <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Department wr <br />of the Food Vendor’s Applications no later than two weeks prior to event <br />SAN JOAQUIN <br />COUNTY <br />eNv S£P 2018 <br />^^^ONMFKrr <br />_PERMl'r/SE^^LTH <br />epartment witmalp <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: Hair Racing Affair <br />9/6/2018 <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: 2 <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: <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 DepartmenVpblicies and procedures. <br />Date(s) of Event: 9/6/2018 Time of Event: 5~10Pm <br />Location- Stockton Civic Theater, 2312 Rosemarie Ln, Stockton, CA 95207 <br />Event Coordinator (Name): <br />Mailing Address: 231 Bedford Rd- stockton, ca 95204 <br />Number of Food Booths: