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SAN 1OAQUIN Environmental Health Department <br /> COUNTY <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 /> CENFRAL FVFNT FTl F MIFORMATION <br /> 1. Name of Event: Lodi Street Faire <br /> 2. Date(s)of Event: Sunday May 5th,2024 Time of Event: Lodi Street Faire <br /> 3. Location: Downtown Lodi <br /> 4. Event Coordinator(Name):Jenna Haley Telephone: (209) 365-4605 <br /> Mailing Address: 35 S_ School Street Lodi Ca,95240 <br /> 5. Number of Food Booths: TBD, map to follow <br /> 6. Approximate attendance at peak time: 9,000 Total Attendance: 18,000 Average Age: 35 <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: X❑Yes ❑No <br /> 3. Are janitorial facilities available: ❑Yes ®No <br /> 4. Number of toilets provided:24 <br /> 5. Name of sanitary garbage disposal company: WM (Waste Management) Number of dumpsters7- 64 gallon <br /> 6. Method of disposal of liquid waste for food booths: Vendors responsibility 7-4 yard dumpsters <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$162 <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 /> • $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 Environmental Health <br /> Department with all Food Vendor's Applications no later than two weeks prior to the 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: t e 1.23.24 <br /> l <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 1 of 11 TEMP EVENT APP <br /> 06/29/202 <br /> 3 <br />