Laserfiche WebLink
P�Q) S --�,b�-Aog <br /> SAN JOAQUIN Environmental Health Department <br /> COUNTY <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 /> GENERAL EVENT FILE INFORMATION <br /> 1. Name of Event: City of Tracy Block Party <br /> 2. Date(s)of Event: September 6, 2024 Time of Event:6:00pm-9:00pm <br /> 3. Location: Front Street Plaza (6th & Central Avenue) <br /> 4. Event Coordinator(Name):Lauren Repetto Telephone: (209) 831-6224 <br /> Mailing Address: 333 Civic Center Plaza, Tracy, CA 95376 <br /> 5. Number of Food Booths: <br /> 6. Approximate attendance at peak time: 800 Total Attendanc : 000 Average Ag . 3 -50 <br /> UTILITIES 2 <br /> 1. Is potable water supplied and available for each food vendor: ® Yes ❑ No <br /> 2. Is electricity supplied and available for each food vendor: ® Yes ❑ No <br /> 3. Are janitorial facilities available: ® Yes ❑ No <br /> 4. Number of toilets provided: 10 <br /> 5. Name of sanitary garbage disposal company: Tracy Disposal Service Number of dumpsters: 2 <br /> 6. Method of disposal of liquid waste for food booths: N/A <br /> APPLICATION <br /> 1. 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 /> 2. 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 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 /> Event Coordinator: z—,'-�' ej{ ,B Date: 7/9/24 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 <br /> 06/9/2023 1 '1 y2_ <br /> 2 g I Page 1 of 11 1 Q TEMP EVENT APP <br /> ' C\ • 2- `-1 CiC �o� <br />