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Q � � Sys -7-7 <br /> rfr SAN�JOAQIJ�N p <br /> Environmental Health Department <br /> i� 4 --COUNTY-- <br /> \c�, sar Greatness grows here. <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: Circus Caballero <br /> 2. Date(s)of Event: August 1 - 11, 2024 Time of Event:Varies Noon to 9.30 pm,see attached <br /> 3. Location: West Valley Mall, 3200 N. Naglee R Tracy <br /> 4. Event Coordinator(Name): Mark Landon Telephone: (9091 687-6778 <br /> Mailing Address: 2534 S. Pleasant Ave. Ontario CA 91761 <br /> 5. Number of Food Booths: One <br /> 6. Approximate attendance at peak time!400 Total Attendance200400/ShowAverage Age: <br /> UTILITIES <br /> 1. Is potable water supplied and available for each food vendor. [N 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: Six <br /> 5. Name of sanitary garbage disposal company: We have our own dumpster Number of dumpsters: 1 <br /> 6. Method of disposal of liquid waste for food booths: Tanks, pumped, as needed <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 prlar to the <br /> event. <br /> I understand that as a tempora event coordinator, I am responsible for meeting California State <br /> standards and the Environmental ealth Department policies and procedures. <br /> Event Coordinator: Date: Ma 7 2024 <br /> 1868 E. Hazelton Ave e I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 1"2 Papa 1 of 11 TEMP EVENT APP <br /> 06129/2023 <br />