Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br />COUNTY--- <br />Vr(!p rli°55 t�rC vf5 I>er,--. <br />COMMISSARY AGREEMENT <br />Mobile Food Facility ♦ Caterer <br />Complete sections 1 and 2. If your commissary is located outside of San Joaquin County also complete section 3. <br />Business Name EI Sonorense Lic. Plate # 7B34933 <br />Owner/Operator Name Julio Hidalgo Olivares <br />Business Mailing Address 3019 Phelps St <br />CityStoakton State CA Zip 95206 Bus. Ph. (510) 605-2097 Alt. Ph. <br />I,_ Julio Hidalgo Olivares , hereby state that the above information is current, true and correct to <br />the best of my knowledge and agree to utilize my approved commissary in accordance with California Health & <br />Safety Code, and San Joaquin County Environmental Health Department (EHD) requirements. If the use of the <br />commissary is discontinued, the permit holder must notify the EHD. Failure to notify this office may result in permit <br />revocation and penalties. <br />Signature 1���cs�� Date 10/7/2021 <br />Commissary Name California Catering Truck Wash FA#_(209) 464-9707 <br />Address 730 S. California St Bus. Phone_ (209) 464 -9707 <br />City Stockton Zip 95203 Owner/Operator Salvador Buenrostro <br />Check all appropriate services provided: <br />Wastewater disposal <br />id waste disposal <br />Ha Cold water for cleaning <br />Store dry food/supplies <br />compartment sink <br />fa Food preparation <br />Q�,91✓ore refrigerated food <br />Overnight parking <br />4J�Electrical hook-ups <br />ff-Toilet and handwashing <br />W Potable water <br />td Vehicle wash <br />I, Salvador Buenrostr0 , hereby state that the information I have provided is current, true and <br />correct to the best of my knowledge, and meets the California Health & Safety Code requirements. If the food facility <br />operator fails t9 comply with the conditions of t.4s agreement, or if this agreement is modified or cancelled, the <br />commissary,olner shMI notify the EHD immedj t ly. <br />10/7/2021 <br />The commissary is located in County. The above food facility meets the <br />commissary requirements in California Health & Safety Code. The above checked services are available at the <br />above commissary. Please notify EHD if the status of their operating permit changes. <br />REHS Signature n,+_ <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br />