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SANJ O A Q U I N Environmental Health Department <br /> COUNTY— <br /> Food <br /> OUNTY • • • Production <br /> 1. Indicate the location where you Lwill store food and equipment at the end oftheday. <br /> CommissaryName: e �5 X206 �J 7/L ( Facility ID th <br /> Address: i 00 IV'i w ko&k 2 o r QJ 2-37 <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 /> �G / In ` ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 S f—pirlo va d <br /> :51vv'z_ cci0(4 /AeP97s <br /> itI - G � <5 Arc1 dS <br /> 2 of 4 <br />