Laserfiche WebLink
SAN JOAQUIN <br /> Environmental Health Department <br />- COUNTY <br />Food Production <br />Indicate the location where you will store food and equipment at the end of the day. <br />Commissary Name: (.4.441661, I Vth k -1141244$ Facility ID #: Tit o)-o44 i‘ I <br />Address: 4 lititt >-5-9 5 ;de tivt, (4 455-cc 2.. <br />MENU DESCRIPTION <br />Indicate all the food and beverage items for sale. WHERE WILL THE FOOD BE PREPARED? <br />FOOD ITEM COMMISSARY ON-SITE <br />A4 16tvi taniiielet I 11 <br />O .-Nan/24e "bodi t 5. tA CII*1 Yo il apt A??4 -642-Yi A/a YAW 17 <br />ay \OAP-1111,th Ovre coo ba el MAO( f (*teat, <br />Da Woltz,' -evat 13 act to r 4/,,,,4e, to; I 7 <br />moo& Oink{ 1,y0,4„,,i t4t,a5 Lkilli" ihaijc, by; Ptitej 11 <br />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 <br />'1) <br />zr ieue. euviiii_ 1,)-44vt_ itc4,2, *-(ativoot • <br />oc,,Antiv yob ot c.,,,,....te-,frt? ,,,,,( mr,t f c.A, . <br />s 101 ?1-- ifetiet10 5 ektik cst? . <br />Q <br />C . <br />2 of 4