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06 <br />JOSEPH COUNTY <br />Event Name: <br />Revised 11/7/2022 <br />St. Joseph County Department of Health <br />Temporary Event Plan and Review <br />IMPORTANT: The Temporary Plan and Review Application MUST be submitted <br />to the Health Department 30 Days Prior to the Event. <br />The application must be completed in its entirety. <br />Date of Event: - - Operational Hours of Event: _ <br />Location of the Event: <br />Event Coordinator's Name: <br />Business Address: <br />E-mail: - <br />Set up Date: - <br />Water Supply: Public Private (well water) <br />Phone Number: <br />Fax number: <br />Set up Time: <br />(copy of last water test) Y N <br />Method used for Wastewater for disposal: <br />•All liquid waste must be disposed of into approved containers (e.g., graywater bins) or to an approved sanitary sewer <br />Total Number of Temporary Food Vendors: - <br />4< c-,i , <br />Approximate number of attendees and staff expected at the event daily: <br />Event Coordinator Responsibility: <br />• Ensure all vendors have applied for and obtained the necessary permit(s) seven (7) days before the Event. <br />• Contact the temporary vendors and inform them of the inspection time. <br />• Inform the vendors they need to be at their location until the Health Department has conducted an inspection. <br />Vendors who are not at their location or not in full compliance with 410 IAC 7-24 will not be allowed to <br />operate. <br />• If a vendor has not applied and paid for a permit, the Event Coordinator SHALL not allow that vendor to operate. <br />• Any vendor without adequate hand washing facilities will be closed until adequate hand washing facilities can be <br />provided. <br />• Submit a site map listing location(s) of the food vendors. <br />The Temporary Event Plan and Review Application may be faxed to the Health Department at 574-235-9497, mailed to <br />St. Joseph County Department of Health, Attention Food Unit 227 W. Jefferson Blvd., 9' Floor County City Building, <br />South Bend, IN 46601, or emailed to - - - - __ _ -- _ . Online application submittal is also available at <br />in "Forms & Permits". if there are any questions, contact our office at 574-235-9750. <br />Page 1 of 2 <br />