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SA N J OAQ U I N Environmental Health Department <br /> —COON-1 Y <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: Vets (Veterans) and Pets <br /> 2. Date(s) of Event: 4/11/2026 Time of Event: 9.00 arn- 3:00 pm <br /> 3. Location: Doctor Powers Park <br /> 4. Event Coordinator(Name): Roberta Carpenter Telephone: 409) 346-6595 <br /> Mailing Address: 1040 Vallerand Road, Tracy, CA 95376 <br /> 5. Number of Food Booths: 1 <br /> 6. Approximate attendance at peak time: 300 Total Attendance, 00 Average Age: II ages <br /> UTILITIES <br /> 1. Is potable water supplied and available for each food vendor: Yes ❑ No <br /> 2. Is electricity supplied and available for each food vendor: Yes ❑ No <br /> 3. Are janitorial facilities available: ❑ Yes IZ No <br /> 4. Number of toilets provided: 4 <br /> 5. Name of sanitary garbage disposal company: Tracy Material Recovery Inc. Number of dumpsters: 1 <br /> 6. Method of disposal of liquid waste for food booths: Collect in containers and send to dump <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$172 <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 /> • $172 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$774.00 <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: R cr Date: 2/15/2026 <br /> 1868 E. Hazelton Avenue l Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 l www.sjgov.org/ehd <br /> EHD 16-02 Page 1 of 11 TEMP EVENT APP <br /> 07/0112024 <br />