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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: SI IV 16.s RUN bli <br />Address: ?)2, 0 <br /> <br />MENU DESCRIPTION <br />Indicate all the food and beverage items for sale. WHERE WILL THE FOOD BE PREPARED? <br />FOOD ITEM <br />COMMISSARY ON-SITE <br />babi bact_ i \os <br />On i Cte o Isl usv) row-1-VArsol cA >e KI <br />?ov?orY-- ed Yi A <br />rk-\-niz 7 FR <br />Masli-e d es <br />GriWed V ecVii e3 <br />gi 0 <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 /> Y--ee P Czbd °Ad <br />elltitt-\--6i ck,e-(3 re.-fri ,i- ahr ruhrok, e 5j-e- <br />-ock 'Wo(essti ekno p p D6I i()-\ a Ke 6ire ss) \rc,, S <br />LI <br /> ‘OuYile r sh\ie Co- I Heal-- uf, fw d <br />keep od L,00.1,- leNn <br />Facility ID #: <br />3)-batzh, cisa