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F hazelton Avenue I Sfcc--kfon, California <br />tc Signature <br />,ve commissary. Please notify EHD tf the status cf the • <br />)-•-• <br />e commissary is foc-ated in <br />nr»issary requirements Ti Ca!ifomia Health 8, S.'ety <br />• <br />En v i ro nmen ta I Health Departmen1 <br />--i)*•)ns L-ir),3, <br />To b e coal <br />,eted b <br />APPL CANT <br />1----7YAs.10C6:5+c ,:,u1s.de of Sari joaquir; county also complote section <br />_ <br />GemerlOpera!or Name Ana isabei Lea, <br />city Tracy <br />State CA ZIP 95377 <br />Alt Pn <br />commissary is discontinued the permq holot,r my approved cornrniSsarv in a ccordance with Ca/ifornia Health & t`'3ttj' D <br />ePa ent (END) requirements If the use of the <br />must nt-tt:Y the EF4D. <br />reyocaVnn and penaltie.s <br />Fare !O <br />notify this office may result in permit <br />—• <br />NER/OPERATOR <br />FA# <br />Sus. Phone 209-338-3663 <br />Ovine- operator William Berkowrtz <br />Ed Eiectncal hook-ups <br />fa Toilet and handwashIng <br />lE1 Potable water <br />bmmtssary owner shall nob the EHD linthedia!ely <br />porrerl to the best of my knowledge and meets the Cal <br />-fon-fa Fieetth a safety Code :uprnrCocid:ediSocrucarretert: attin: <br />tperator fails to comply with the <br /> condtons of this agreement. or if this agreern„,. <br />/;«eq, frerre. the food facility igra!ure <br />•L -re information 1 hay <br />urisdictio—n <br />outsici ,k)a--616-Co <br />Me above checiceervices are ailable <br /> tne <br />pernift charlgeS <br />Date <br />County_ The above foo0 facility rne d s <br />-.2/ <br />at <br />2- <br /> <br />av ets the <br />,2:420 F <br />209 464-0738 l vi\vw.sigov.org:eha <br />COMMISSARY AGREEmENT- Mobile Food Facility • Caterer <br />3 <br />Susines.: Name isabela's Mexic_an Food <br />Eus:nesMailing 4OCiles4445 w Durham Ferry Rd <br />j <br />Lic. Plate - -/ <br />Bus. Ph. (.209) 938-8555 <br />e abode InfOr <br />Safety Code, and <br /> San Joaquin County Environmerlfai <br />the best Of My <br />knOWIOdge Z1f7•0 wrze hreb eY State tla! !ti rnanOn is current. true and correct to <br />r_ <br />2. To be com Feted b <br />Cc;rnm,ssary Name Max's r‘rtchen LLC, <br />Address 1211 S. 7th Street <br />city Modesto <br />Z 95351 <br />Check all appropriate services provideo <br />fa Wastewa!er d2sposal <br />la Soled waste dtsposa; <br />Hot & Cold water for clearprtg <br />Store dry foodisuppbes <br />Mark Luis Cruz <br />Er 3-compartment sink <br />Food preparatIcn <br />0 Store refrigerateci food <br />0 overnight parkino <br />.1-weby • <br />MMISSA <br />V ehicle Wash <br />To be com feted b the ENV HEAL