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COMPLIANCE INFO
Environmental Health - Public
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1600 - Food Program
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PR0503275
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2026 1:34:55 PM
Creation date
4/28/2026 1:24:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0503275
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0005760
FACILITY_NAME
MANTECA SUNRISE PUMPKIN FAIRE
STREET_NUMBER
0
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21940007
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\tchampion
Supplemental fields
Site Address
YOSEMITE AVE MANTECA 95336
Tags
EHD - Public
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Manleca suiu•isc Kiwanis For Official Use Onl <br /> rP=pkm Fair Booth Number_ o <br /> October 7th& 8th 2017 Check ii CA <br /> 10:00 AM - 6:00 1'M Paidlap" Posted <br /> P.U. BOX 752, Manteca,CA 95336 <br /> Phone: 800-592-7419 1,'AX:209 275-1603 F.-Mail: bncxhsalesCsutuisekiwanis.org <br /> We reserve the right to refuse any exhibitor that misrepresents information on this application <br /> The Sunrise Kiwanis Invite you to participate in our 331d annual Pumpkin Fair • Booth spaces are limited to a 12 foot X 10 foot area. <br /> in Downtown Manteca.Our Fair is always a sold out event so In order to Absolutely no solicitation or ondtiring can be done outside your <br /> secure a prime location,please send your application In early. booth space. <br /> Contractor/service provider agrees that it will indemnify and hold harmless No sandwich boards or advertising can be done outside your <br /> Kiwanis International and Manteca Sunrise Kiwanis,a Kiwanis Club,from and booth space. <br /> against all losses,claims,suits or other legal liability and legal expenses of walking the event and soliciting for your cause is not allowed <br /> any nature imposed upon or brought against them by reason of arty act or under any circumstancesi <br /> omission of the contractor/service provider or its agent or employees In the All sales are finall l understand if 1 do not follow the expectations <br /> course of performing the work of providing the services that are subject to f�a(f my booth s7[y 1 !bpe f]p r tyy eorge Dale <br /> this contract.Vendors will be responsible for any damages caused to Fair or G e V r e LJ -1 1 �j�(+'cn= ear a bee,o ou, <br /> emaVf=hone dalebees@ malLtom.c=US <br /> City Property.All food and commercial vendors must provide a certificate of Signature <br /> Insurance naming the Kiwanis Glub of Manteca-Sunrise as an additionally George Dale <br /> Insured.Home based business only may sign the attached Indemnification <br /> &Hold Harmless Agreement. Your Name <br /> Wo�wea ons,d s d aravhernalta,stink bombs or Honeydale Beekeeping <br /> throw caps mau be soldat our fait. Bust s Name <br /> IN Boulder Creek Circle <br /> • Any booth needing power may bring their own generator.It must <br /> be a quiet,newer model and must not disturb other vendors. Mailing Address <br /> • Absolutely no sound systems allowed Stockton CA 95219 <br /> Return this Application/Agreement with the following: City State Zip <br /> 209-207-9521 <br /> 1.Fees may be paid In check,cash,money order,Master Card or Visa.Make Phone Number <br /> checks payable to the Manteca Pumpkin Fair. lioneydalebees@gmail.com <br /> No personal checks will be accepted after Sept.1S,2017 <br /> 2. Picture or list of Items to be sold In your booth. E-Mal!Address <br /> Exact Name on Credit Card George Dale Early Bird Booth Fees <br /> All booth spaces are 12'X 10' <br /> 4259 0720 3880 2996 Booth Type fees Total Cost <br /> Credit Card ff <br /> Food Booth $400,00 <br /> EKp. 0 5 21 Security code: 0 2 (2 booths=$600;3 booths=$675) <br /> California Resale License Number Commercial/Info Booth $270.00 <br /> SR K H 102535469 (2 Booths=$420;3 Booths=$545 <br /> (Mandatory to sell at our fair) Arts&Craft Booth $200.00 200.00 <br /> Special Booth#Request (Must be Handcrafted) <br /> Booth request will be accommodated on a first come first paid basis. (2 Booths=270;3 Booths=$375) <br /> This is a request only and not a guarantee. <br /> Non-Profit Booth $150.00 <br /> The undersigned agrees to comply with all regulations set forth by (2 aooths=$250) <br /> the Pumpkin Fair Committee. Non-Profit ID Number Required <br /> Food Vendor Note <br /> By signing this contract,all food vendors acknowledge that any non- vendors submitting applications after September 1,2017 will be <br /> compliant food vendors will be charged for any additional inspection charged the Standard Fees which are an additional charge of$50 <br /> charges accrued due to their non-compliance. more per booth. <br /> Digitally signed by George Dale <br /> W c—George Dale,o,ou, <br /> Signature G e o ra e Dale e,all=hon,yd,lrh—�-Al Conn.r to Effective After September 1.2017 <br /> Dare-2017.091314:44a6-07'00' Standard Booth Fees add $50.00 <br /> Drocupfian Additional Booth Fees <br /> Please describe all items to be sold in your booth or enclose pictures Corner Booth Fee $50.00 <br /> on a separate sheet of paper.Any item not listed could be 0 <br /> Total Due: <br /> prohibited from sale during the fair.Example we will not allow lust Food vendors must have a fire extinguisher and health checklist in <br /> woodcrafts.we need the exact woad items to be sold. their booths.You can download a checklist <br /> "Temporary Event Application"from: <br /> http://www.smcehd.com/General Info/applications and forms.htm <br /> No refunds will be given for cancellations. <br /> NO APPLICATION WILL BE ACCEPTED WITHOUT FULL PAYMENT! <br />
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