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SANJ O A Q U! N Environmental Health Department <br /> • • • Production <br /> 1. Indicate the location where you will store food and equipment at the end of the day. <br /> Commissary Name: i C j C.-�l/rl� Facility ID p: <br /> Address: ( b \\ P( ,/ /)� �/'nJ J P _Da6- <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 /> L1�J L1J <br /> —C� <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 L e e <br />