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SANdOAQUIN <br /> <br />Environmental Health Department <br />---COUNTY--- <br />Greatoess grows herc. <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: Sacramento Kennel Club <br />Date(s) of Event: April 11, 12, 13 & 14, 2024 <br />Time of Event: 7 AM to 4 PM <br />Location: Lodi Grape Festival Grounds <br />Event Coordinator (Name): Richard Vida Telephone: (916) 508-4433 <br />Mailing Address: 4_237 Auburn Rlvd Sacrampntn CA 95841 <br />Number of Food Booths: Six <br />Approximate attendance at peak time: 11 AM to 2,-P-111 -ruLar,ttendance: 700 Average Age: <br /> <br />UTILITIES <br />Is potable water supplied and available for each food vendor: Yes n No <br />Is electricity supplied and available for each food vendor: 21 Yes LI No <br />Are janitorial facilities available: VI Yes ID No <br />Number of toilets provided: Several inside buildings <br />Name of sanitary garbage disposal company: Fairgrounds provides Number of dumpsters: UKN <br />Method of disposal of liquid waste for food booths: Fairgrounds provides <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: a4W, Da te: February 21, 2024 <br />1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 I F 209 464-0138 I www.sjgov.orgiend <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />06/19/19