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SA N J A Q I t I N Environmental Health Department <br /> -COUNTY <br /> Food • • • <br /> 1. Indicate the location where you will store food and equipment at the end of the day. <br /> CommissaryName: Facility ID#: <br /> Address: <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHERE WILL THE FOOD BE PREPARED? <br /> FOOD ITEM COMMISSARY ON-SITE <br /> QS <br /> 2. List equipment and utensils that will be used. Please be specific on equipment's use and function. <br /> For example: Equipment: Blender Intended use: Make Smoothies <br /> Equipment Intended use during food preparation or catering event <br /> Refrigerator <br /> ro <br /> 9 of d <br />