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2. <br />3. <br />4. <br />5. <br />Average Age: A\\?006.Approximate attendance at peak time: <br />Yes <br />Yes2. <br />3.es <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br />LAEvent Coordinator Date: <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 /> No <br /> No <br /> No <br />-A <br />C <br />SAN JOAQUIN <br />-COUNTY- <br />Greatness grows here. <br />jnxni Number of dumpsters: <br />301 q <br />ime of Event: _____________________ <br />__________ <br />Telephone: .) VS ~ <br />^/io /. <br />Environmental HeateBepartment <br />to, ** <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Departmenfv&tSi air <br />of the Food Vendor’s Applications no later than two weeks prior to event <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 Health Department policies and procedures. <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />07/3/17 <br />GENERAL EVENT FILE INFORMATION <br />1. <br />UTILITIES <br />1. <br />■ (- C Total Attendance: <br />Is potable water supplied and available for each food vendor: £ <br />Is electricity supplied and available for each food vendor: E <br />Are janitorial facilities available: £ <br />Number of toilets provided:____________ <br />Name of sanitary garbage disposal company:LV (Awwy <br />Method of disposal of liquid waste for food booths: Vq \ <br /><gG\ \ <CA Z._________ <br />A-yC- <br />.......................................................r11<7in <br />Name of Event: CUjCA yJ\ VrA/ CsV\ <br />Date(s) of Event: Aunt <br />Location: S - Cav?A <br />Event Coordinator (Name): ( <br />Mailing Address: <br />Number of Food Booths:I