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Commissary Name: <br />Address: <br />1. Indicate the location where you will store food and equipment at the end of the day. <br />-1-qt e e( cicri-roitt <br />_3cl ( No( do 54- 144-6 <br />Facility ID #: <br />g520(0 <br />SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />Food Production <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 />TQCO 5 Qtke5ttd I')l a 5 S(4-45 1 i a <br />415.6k <br />Me a/t 5 .i-- <br />a 5u a -{C.S Cq <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 />Refrigerator <br />--4---oc(e mea+5 <br />5\G/61v vA ok.Vt 51115 q 5 <br />5 +0‘if t C co k fool q47)e5 *, SWAPO- -Co( Set <br />54[54 7OrE5 +.0 Do (e 7‘t (54 <br />-NOC C ovtl twit hiS 44- <br />. <br />nf A