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SA N J O A Q U I N Environmental Health Department <br /> COUNTY------ <br /> Food <br /> --- • • • Production <br /> 1. Indicate the location where you will store food and equipment at the end of the day. <br /> Commissary Name: C-)ezll rz/ ( C)a/7 �/_/ Cg l� Facility ID#': `' do t <br /> Address: o W 6 Zko,4e4rd. 6cL 2-37 <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHERE WILL THE Food BE PREPARED? <br /> COMMISSARY ON-SITE <br /> FOOD ITEM <br /> 70/es © ❑ <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 fpe-e, -�U6,/ <br /> :5faVC, 014 /Aerns <br /> 2 of 4 <br />