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Name of Event:1. <br />2. <br />3. <br />4. <br />5. <br />2000 30750Total Attendance:Approximate attendance at peak time:Average Age:6. <br />1. <br />2. <br />3. <br />4. <br />25.Number of dumpsters: <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator: <br />Temporary Event Application <br />Application Review Fee of $152 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br /> No <br /> No <br /> No <br />1868 E. Hazelton Avenue | S/ockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 1 Page 1 of 11 TEMP EVENT APP <br />07/3/17 <br />SAN JOAQUIN <br />-----COUNTY------ <br />S£p <br />TEMPORARY EVENT APPLICATIO^pe^* <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Depai <br />of the Food Vendor’s Applications no later than two weeks prior to event <br />UTILITIES <br />Is potable water supplied and available for each food vendor: [/~| Yes <br />/ Yes <br />/ Yes <br />Environmental Health Department <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 />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 />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 HealttrDephrtment policies and procedures. <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: Waste Management <br />Method of disposal of liquid waste for food booths: Kitchen <br />) 510 340-8215 <br />GENERAL EVENT FILE INFORMATION <br />Saint Anne's Catholic School Harvest Fest <br />Date(s) of Event: October 6 & 7, 2018 Time of Event:10/6 (11am-9Pm)110/7 (10am-6pm) <br />Location- Saint Anne's Plaza - 200 South Pleasant Street <br />Event Coordinator (Name): Kevin Torell Telephone: ( <br />Mailing Address 200 South Pleasant Street, Lodi, CA 95212 <br />Number of Food Booths: ® <br />Date: 9/14/18