Laserfiche WebLink
S Q N J Q Q Q U I N Environmental Health Department <br /> cou NIT Y <br /> L�.!�i,=6•p/ 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 Alegria <br /> 2. Date(s)of Event:December 4 - 29, 2025 Time of EventVaries 2:00 to 9:30 pm, see attached <br /> 3. Location; Promenade Shops, 1422 Grove Ave., Manteca <br /> 4. Event Coordinator(Name):Mark Landon Telephone: P09)687-6778 <br /> Mailing Address: 348 Es uina Dr. Henderson NV 89014 <br /> 5. Number of Food Booths: One <br /> 6. Approximate attendance at peak time:150 Total Attendances 00-150 per sh%Werage Age: 35 <br /> UTILITIES <br /> 1. Is potable water supplied and available for each food vendor: [A Yes ❑ No <br /> 2. Is electricity supplied and available for each food vendor: [3 Yes ❑ No <br /> 3. Are janitorial facilities available: E3 Yes ❑ No <br /> 4. Number of toilets provided: 3 <br /> 5. Name of sanitary garbage disposal company: We have our own dumpsteNumber of dumpsters: 1� <br /> 6. Method of disposal of liquid waste for food booths: Tanks, to be 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$179 <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 /> $179 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$805.50 <br /> This application is to be completed and signed by the Evenr [;oorainator, rnen returnee 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 a nt coordinator, I am responsible for meeting California State <br /> standards and the Environmental He th Department policies and procedures. <br /> /v L L �~� <br /> Event Coordinator: Date: 11-12-2025 <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 /> EHO 16-02 Page 7 of 11 TEMP EVENT APP <br /> 0710112025 <br />