Laserfiche WebLink
Name of sanitary garbage disposal company. <br />Method of disposal of liquid waste for food booths: <br />APPLICATION he---ok-C \2..2. <br />Number of dumpsters: <br />SANJOAQUIN <br />tir-100) —COUNTY 103:40” jr_s.,1,17/ Greatness grows here. <br />Environmental Health Department <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 INFOR 'TION <br />Name of Event: <br />Date(s) of Event: / <br />Location: <br />Event Coordinator (Name): <br />Mailing Address: <br />Number of Food Booths: <br />Approximate attendance at peak time: Total Attendance: Average Age: OV4-"6"-CkC <br />UTILITIES \).‘c. <br />Is potable water supplied and available for each food vendor: LI Yes No <br />Is electricity supplied and available for each food vendor: LI Yes >ff:j No <br />Are janitorial facilities available: I LI Yes No <br />Number of toilets provided: Gt.„ tAi -s <br />1. Submit the following to the Environmental Health Department two weeks prior to the event: <br />Temporary Event Application <br />Application Review Fee of $162 <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 />$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 tempora coor r, I am responsible for meeting California State <br />standards and the Envir,onm olici and procedures. <br />Event Coordi Date: <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 />END 16-02 Page 1 of 11 TEMP EVENT APP <br />06/29/2023 <br />Telephone: (2011 't 1 •0%.;)