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SAN JOAQUIN <br />-- COUNTY -- <br />i <br />Environmental Health Department <br />1. Indicate the location where you will store food and equipment at the end of the day. <br />Commissary Name: <br />Address: <br />rrs�rr� <br />MENU DESCRIPTION <br />Indicate all the food and beverage Items for sale. <br />WHERE WRLTHE FOOD BE PREPARED? <br />FOOD ITEM <br />COMMISSARY <br />ON-SITE <br />`� I c� <br />� <br />(CIiz-CA <br />l� V) CO , yr6C10 <br />wle_ys <br />❑ <br />0cnc0 <br />❑ <br />❑ <br />❑ <br />❑ <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 <br />Intended use during food preparation or catering event <br />{{Refrigerator <br />1�na r <br />I� <br />T�V:,yrJ <br />`�CJlrf�'Ci'1 <br />`� I c� <br />� <br />(CIiz-CA <br />C.lCK�r\h �ie►?� <br />wle_ys <br />GGt-C" eQC>nA- <br />2 of <br />