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* <br />,i OOP’- <br />1. <br />2. <br />3. <br />4. <br />5. <br />2OCL6. <br />1. <br />2. <br />3. <br />4. <br />Number of dumpsters: 5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Cristian C Donato 04/29/24Date:Event Coordinator: <br />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 $162 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />IXl Yes <br />® Yes <br />(X) Yes <br /> No <br /> No <br /> No <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />06/29/2023 <br />Approximate attendance at peak time? <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 />11:00 AM-2:00PM and <br />4:00 PM-8:00PM <br />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 temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Department policies and procedures. <br />UTILITIES <br />Is potable water supplied and available for each food vendor: <br />Is electricity supplied and available for each food vendor: <br />Are janitorial facilities available: <br />Number of toilets provided: <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: <br />) Total Attendance: <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: Primary Charter Food Truck Event <br />Date(s) of Event: 5/10/24 & 6/21/24 Time of Event: <br />Location: 51 F Reverly PI, Tracy, CA 95276 <br />Event Coordinator (Name): Cristian C Donato Telephone: (83"I) 297-9690 <br />Mailing Address: 3 E Gibson St, Stockton, CA. 95204 <br />Number of Food Booths: <br />FA ^>^-1 <br />Environmental Health DepartmentSAN JOAQUIN <br />------COUNTY------- <br />Greatness arcs here.