Laserfiche WebLink
SAN JOAQUIN <br />--COUNTY <br />Environmental Health Department <br />1. Indicate the location where you will store food and equipment at the end of the day. <br />Commissary Name: <br />Address <br />Facility ID #: <br />71 7 <br />MENU DESCRIPTION <br />Indicate all the food and beverage items for sale. <br />WHERE WILL THE FOOD BE PREPARED? <br />FOOD ITEM <br />COMMISSARY <br />ON-SITE <br />4/4-rr��>Zc&cm �M�c.���� .�a�-6v�com ,awr�ra�vr�? � <br />brrs � Now- a�2Pia ,4144 r�fa t3a,�a i4a <br />❑ <br />.�LGI�S , .�r G , ,�Q�vm6yvr, •�1of' ,,-�ec�.t <br />LQ 1k7 ems, ,B <br />❑ <br />PA41,0 �,". /* <br />❑ <br />�h� .t,- � c�ij-i�a�r�a.P�.��G �,. ���� <br />❑ <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 <br />Intended use during food preparation or catering event <br />Refrigerator <br />I -In <br />r2 ZA-I& .a c A <br />�Q?� x i,Lr. <br />�o e -'n'.0 <br />mak. <br />-70 <br />`2¢.rt Gro� �� <br />�. y2►�k'��vvZvJ <br />') of <br />