Laserfiche WebLink
o <br />/y d. <br />GENERAL EVENT FILE INFORMATION <br />Name of Event:1. <br />2. <br />3. <br />209-463-3413MSGR. BONIFACIO BALDONADO4. <br />145. <br />3010002000Average Age:Total Attendance:6.Approximate attendance at peak time: <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />Number of dumpsters: 1 (40 yard)5. <br />6. <br />APPLICATION <br />1. <br />2. <br />SEPTEMBER 9. 2016Event Coordinator: Date: <br />TEMP EVENT APPPage 1 of 11 <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 />7/14/15 <br />Date(s) of Event: <br />Location: _____ <br />Event Coordinator (Name):. <br />Mailing Address: _______ <br />Number of Food Booths: <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 $130 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />S Yes <br />□ Yes <br />S Yes <br />□ No <br />□ No <br />□ No <br />Time of Event:______ <br />120 W. FIFTH ST. STOCKTON. CA 95206 <br />ST. GEORGE PARISH FAMILY FALL FESTIVAL__________ <br />SEPTEMBER 24-25. 2016 TimO nf Rvzant- 9AM - 9PM <br />I understand that as a temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental HeartTT'pepartment policies and procedures. <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $130 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 ($195.00 per hour) <br />San Joaquin County <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.cyo/ehd 2016 <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: 20 toilets & 8 handicap <br />Name of sanitary garbage disposal company: Republic Services <br />Method of disposal of liquid waste for food booths: P^di liquid waste in a sealable container & dispose in a <br />Stockton Certified Collection Center. <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 />■T" <br />Telephone: ( ) <br />120 W. FIFTH ST. STOCKTON. CA 95206 <br />0 Q <br />■ ’’d