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SA N J OA O U I N Environmental Health Department <br /> COUNTY <br /> Food • • • <br /> Indicate the location where you will store food and equipment at the end of the day. <br /> \ <br /> Commissary Name: ch v/M Lu Facility ID#: <br /> Address: <br /> 259 5 C, W H 4ve- C/& gSa9 D <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHERE WILLTHE FOOD BE PREPARED? <br /> COMMISSARY ON-SITE <br /> FOOD ITEM <br /> rM <br /> �GIV�I�bLN <br /> Ili C b �-C�,_ C 0 . © ❑ <br /> at- VV`I 1.1 ❑ ❑ <br /> ❑ ❑ <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 /> 'AI o r 0,D o( k of oL vl co 4{0.., c 11 e e, �'I�(►h O-VA4 +ilt� -WUYLA <br /> Mlxer MiXivt rlcofjz� �pv CO.VIho�, �- CY�►'►'1 ��' 'i'ivavNl�U• <br /> Fv ev <br /> FYI IlAC.owvioIL skelveS <br /> vvev� jakiA v\,cuffo,_� C&t;e <br /> Steve. +D� Malo v1 Vi Cb�CA- Ckeesse . L <br /> Y"elf), Cm1 oK cS+OIr(VNVIC.b-R. C6e�, � 1 vojvxk�tk <br /> ren 1"z r rim C_ CI&L Q, <br /> CanvwLi S Foy- fr1w CRAVV ; <br /> 01 <br /> CHCeSe CIlk F01- wkak ykhcoTI1o. 6v V-) <br /> zeta <br />