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Environmental Health Department <br />Name of Event:1. <br />12PM-8PM2. <br />3. <br />702-665-3004)4. <br />5. <br />6. <br />1. <br />2. <br />3. <br />4. <br />1WASTE MANAGEMENT Number of dumpsters:5. <br />6. <br />APPLICATION <br />1. <br />2. <br />06/02/2026Date:Event Coordinator: <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />© <br />Date(s) of Event: <br />Location: <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 $179 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />FfrYes <br />Q Yes <br />Q Yes <br />□ No <br />□ No <br />□ No <br />TEMPORARY EVENT APPLICATION L <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 />JUNE 20-21 Time of Event:. <br />WEBER POINT - 221 N CENTER ST, STOCKTON 95202 <br />,/4'L <br />Greatness grows here. <br />Event Coordinator (Name): <br />Mailing Address: <br />Number of Food Booths: 1 j FOOD / 2 ITALIAN ICE /1 DESSERT <br />Approximate attendance at peak time: ^£2 Total Attendance:. <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $179 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 $805.50 <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 />GENERAL EVENT FILE INFORMATION <br />STOCKTON WATERFRONT SMOOTH JAZZ FEST <br />CAT SIMS Telephone: ( <br />6333 PACIFIC AVE #316, STOCKTON, CA 95207______________________________ <br />^BEVERAGE <br />* 1000 Average Age: 45 <br />JUN 0 3 2028 <br />SANJOAQUIN <br />l-’JJ " ------COUNTY------- <br />UTILITIES <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: <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: GREY WASTE BIN