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1)12 0 SL-1 ')3eco <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />Lit tf,7_,-COUNTY <br />‘. 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 />Name of Event Lodi Comic Con <br />2024tember 28, Date(s) of Event: Sep Time of Event:1-I am-5pm <br />Location: Lodi Grape Festival Grounds <br />Event Coordinator (Name).Mi(e Millerick Telephone: ( ) 209-471-5478 <br />PO BOX 7202, Stockton, CA 95267 Mailing Address: <br />Number of Food Booths: 7 <br />Approximate attendance at peak time: 2000 Total Attendance: 3500 Average Age: 20ish <br />UTILITIES <br />1. Is potable water supplied and available for each food vendor: El Yes No <br /> Is electricity supplied and available for each food vendor: El Yes 111 No <br /> Are janitorial facilities available: El Yes El No <br /> 6 r-rooms with 6 per Number of toilets provided: <br /> Name of sanitary garbage disposal company: California Waste Number of dumpsters: 4 <br /> Method of disposal of liquid waste for food booths: City Sewer ta <br />APPLICATION <br />Submit the following to the Environmental Health Department two weeks prior to the event: <br />Temporary Event Application <br />Application Review Fee of $156 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br />2. If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />$156 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 $702.00 <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: Mike Millerick Date: 4-26-24 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />06/19/19