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GENERAL EVENT FILE INFORMATION <br />Name of Event: Market & Music Summer Series1. <br />2. <br />3. <br />4. <br />5. <br />6.Approximate attendance at peak time: 50 Total Attendance: 200 Average Age: 40 <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator: <br />TEMP EVENT APRPage 1 of 11 <br />'0 <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 />EHD 16-02 <br />8/1/14 <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 $152 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />Event Coordinator (Name):Joann Beattie Telephone: ( 209 ) 823-6121 <br />Mailing Address: 183 W, North Street, Suite 6, Manteca, CA 95336 <br />Number of Food Booths: S <br /> Yes <br /> Yes <br /> Yes <br />xD No <br />xQ No <br />xQ No <br />Date(s) of Event: June 27, July 18, August 1 Time of Event:5 p.m. to 8 p.m. <br />Location: 100 Manteca Ave (Library Park) Manteca, CA 95336 <br />San Joaquin Count <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $152 per hour (weekdays 8:00 am to 5:00 pm) <br />• After regular business hours (weekday, weekends and holidays) the inspection is charged at the <br />hourly rate, calculated at one and one half times ($228 per hour) <br />w <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 />-------- <br /> Date: <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 />JUN 11 2019 <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: 3 <br />Name of sanitary garbage disposal company: City of Manteca Number of dumpsters: 2 plus trash cans <br />Method of disposal of liquid waste for food booths: recycle barrel