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SA N A O A Q U I N Environmental Health Department <br /> —CCUNTY— <br /> • • • Production <br /> 1. Indicate the location where you will store food and equipment at the end of the day. <br /> Commissary Name: 4 2 T -6G� CCl�l M (Sf�j Facility ID M. <br /> Address: rf f &;e(, C4 Qf) ya <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHErtewiu THE Food BE PREPARED? <br /> COMMISSARY ON-SITE <br /> FOOD ITEM <br /> f/►�(O�� �ClcvSfe� T-Vr Z, ,P ❑ MVI <br /> ON <br /> gr,/lc�' GhfUf�h auky�r <br /> UfdliP�� �ccflr'C �O/t{toGf ❑ Ri <br /> f a ate! Gwr h Stip ❑ Er <br /> Cl�vftC ��� �l�s/��✓ ❑ D <br /> YW h G-M oEr Ef <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 To /1atafi/14.egtf U�-a4,6Jer Q-i-1fht <br /> �c�Y� e06,KJf^� 6-he,41 <br /> IC ahaC ;hifh the 6h/ t,P, <br /> To 60 ,YcWoef Qha! rercl GHth'rh . <br /> 4.rh�c1' � <br /> 0 To p o la(,WA oG th th e cCn-e4-f re-,n 1titq,/�Y—, ;?-o,h e- <br /> S{4fh(efS <br /> tow if 1,6--P <br /> 6&�f/ 62oa OK T4 Gwt f�k� <br /> Kh e(�0 7d Ctd- <br /> 110 / /ever In e , a f -e <br /> �of 5 u ha4-1 ac e' Of <br /> Gr(/ -ro rs// The' Kh.('4" vhoG Tr,' T <br /> 2of4 <br />