Laserfiche WebLink
SA N.D10 A Q U I N Environmental Health Department <br /> —COUNTY— <br /> • • • Production <br /> 1. Indicate the location where you will store food and equipment at the end of the day. <br /> CommissaryName: ILVIWS gna�U nj Facility ID#: 2� <br /> Address: Cen Tync4 I CA 05n1g, 3 cr-� C, <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHERE WiuTHE FOOD a PREPARED? <br /> COMMISSARY ON-SITE <br /> FOOD ITEM <br /> SI;d e ,cA u beef i,r' ti b ea brrsK4 ❑ <br /> o s a ��zers, I El <br /> � ❑ �2 <br /> 2. List equipment and utensils that will be used. Please be specific on equipments use and function. <br /> For example: Equipment: Blender Intended use: Make Smoothies <br /> Equipment Intended use during food preparation or catering event <br /> Refrigerator <br /> m 400 40 } <br /> S+o lort m UY V► 01 <br /> d Va9h8es— <br /> ad <br /> c125sflrM <br /> d rl a. &g SALLCes <br /> SMA <br />