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Environmental Health Department <br />Time of Event: d.m to 9:00 p.m2. <br />3. <br />4.Telephone: () 209-607-7308 <br />5. <br />356.Approximate attendance at peak time: 300 Total Attendance: 1500 Average Agi <br />2. <br />3. <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Date: <br />Temporary Event Application <br />Application Review Fee of $162 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br />□ No <br />□ No <br />□ No <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 />SAN JOAQUIN <br />-----COUNTY----- <br />Greotness ^rows here. <br />Lrrves <br />EyfYes <br />Eves <br />Submit the following to the Environmental Health Department two weeks prior to the event: <br />a) <br />b) <br />c) <br />d) <br />e) <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: 18 <br />Name of sanitary garbage disposal company: Tracy Delta Solid Waste Management. Inc. Number of dumpsters: 2 <br />Method of disposal of liquid waste for food booths: Down the drain in the kitchen <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 ije^ltti^epartment policies and procedures. <br />Event Coordinator:^/y^Qvv^ <br />GENERAL EVENT FILE INFORMATION <br />1. <br />UTILITIES <br />1. <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420] F 209 464-0138 | www.sjgov.org/ehd <br />Pa9e 10,11 TEMP event app06/29.'2023 <br />ooo <br />Name of Event: St- Bernards Fall Festival <br />Date(s) of Event: September Sth & 9th <br />Location: ’163 w- Eaton Ave- Tracy Ca 95376 <br />Event Coordinator (Name): Marie Mifsud <br />Mailing Address: 163 W. Eaton Ave. Tracy, CA 95376 <br />Number of Food Booths: 7