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SANJ O A Q U I N Environmental Health Department <br /> - - <br /> COUNTY - <br /> Food <br /> OUNTY - <br /> • • • Production <br /> 1. Indicate the location 1where you will store food and equipment at the end of the day. <br /> Commissary Name: 1\a Vtf S c� &,ur'n-A Facility ID tf: <br /> Address: X10 t"), 11 YnroPD SA. '�01,L-Au,' 66 TE101, <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHERE wiu THE FOOD BE PREPARED? <br /> COMMISSARY ON-SITE <br /> 1� FOOD ITEM - <br /> �vttt, s� ►�v�S at +`+uS�,c o J,.s, broN� r� 0' 1 i nc,, LJ ❑ <br /> 1 . 1 1 ❑ <br /> J Hones Mv��('U '�nw' ro.'ta. 0 1l <br /> LJ ❑ <br /> �9r IL &�Nop VkI)OAV3 qPQ�'', �OtiS D' �v+� PDM`RJ+S� `tRRv+�pu.n5 [2' ❑ <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 Cob deyr\ c.00�Ceg -t <br /> �lDve. c,%eA I Gptll�n� C �4 rt 1 <br /> 1 `` `` 11 U vn� �� <br /> GallvQt_`1�a. Ove.. (Rx,s�i n `�nb�J -t c oe� r t� �1Anv r1ai.t�, <br /> j�;,� � �S <br /> I���►s J a �6 �,,,n� .� Bora;�. <br /> 2ofa <br />