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SAN.AAQUIN Environmental Health Department <br /> —COUNTY— <br /> • • • Production <br /> 1. Indicate the location(where you <br /> �will store food and equipment at the end of the day./ <br /> Commissary Name: OP4VOA �1pu 1�-& I iP IA Facility ID It: <br /> Address: <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 /> C�K ❑ <br /> I` l Ir ❑ <br /> N ❑ ❑ <br /> F EJ <br /> El 1-1 <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 Yleep C&K Sod-s <br /> tong WG✓a_A� +0 11AA.fK44ki <br /> 204 <br />