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2. <br />3. <br />Telephone: (209) 824-75814. <br />5. <br />6. <br />2. <br />3. <br />4. <br />Number of dumpsters: 5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator--- <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 />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: 2 <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: <br />[X] Yes <br />[3 Yes <br />KI Yes <br /> No <br /> No <br /> No <br />, California 95205 | T 209 468-3420] F 209 464-0138 | www.sjgov.org/ehd <br />Page lot 11 TEMP EVENT APP <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 />Name of Event: Woodbridge Concession Stand <br />Date(s) of Event: Wed. Fri and Sat. April through October 2026 Time of Event: 8:00am to 2:00pm <br />Location: 2401 Morning Brook Drive, Manteca. CA 95336 <br />Event Coordinator (Name): Tracy Richardson <br />Mailing Address: Same as above <br />Number of Food Booths: 1 <br />Approximate attendance at peak time: 50 Total Attendance: 60 Aybrage Ag/ 55+ <br />UTILITIES <br />1. <br />GENERAL EVENT FILE INFORMATION <br />1. <br />SANJOAQUIN <br />O-----C O U N T Y— <br />^LiFo^y (greatness grows here. <br />' Environmental Health Department <br />CtA-jvtYVtfw & <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 />Date: ■A <br />1868 E. Hazelton Avenue | Stocktoh <br />EHD 16-02 <br />07/01/2025