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Environmental Health Department <br />t'Cl'f. <br />o be <br />Business Name Ruh's Kitchen Lie. Plate#10919T3 <br />Alt. Ph. <br />9/26/25Date <br /> •MMISSARY OWNER/OPERATOR <br />FA# 209-464-9707 <br />Bus. Phone 209-271-1741 <br />Stockton 95203 Owner/Operator Salvador Buenrostro & Carmen Rivera <br />O' Vehicle wash <br />Date 9/26/25 <br />REHS Signature Date <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />Complete sections 1 and 2. If your commissary is located outside of San Joaquin County also complete section 3. <br />— - . . - _ <br />The commissary is located in County. The above food facility meets the <br />commissary requirements in California Health & Safety Code. The above checked services are available at the <br />above commissary. Please notify EHD if the status of their operating permit changes. <br />Commissary Name, <br />Address <br />my knowledge, <br />ply with the <br />EZ Electrical hook-ups <br />O' Toilet and handwashing <br />O' Potable water <br />COMMISSARY AGREEMENT <br />Mobile Food Facility ♦ Caterer <br />California Catering Truck Wash <br />730 S California St <br />Ma CAtXwcATCR^05™0 <br />STOCKTON, CA 95203 <br />I <br />City Stockton Zip <br />Check all appropriate services provided: <br />Q Wastewater disposal <br />0 Solid waste disposal <br />0 Hot & Cold water for cleaning <br />0 Store dry food/supplies <br />I,_____________. <br />correct to the best o <br />operator fails to cof <br />commissary owner shall notify <br />S i g n atu re , ( <br />[3TTo be completed by the ENV HEALTH jurisdiction outside of San Joaquin Co. <br />Owner/OperatorName Manbir Singh <br />Business Mailing Address 1913 Lugano Way <br />City Manteca StateCA Zip 95337 Bus. Ph. 209-453-3544 <br />I.hereby state that the above information is current, true and correct to <br />the best of my knowledge and agree to utilize my approved commissary in accordance with California Health & <br />Safety Code, and San Joaquin County Environmental Health Department (EHD) requirements. If the use of the <br />commissary is discontinued, the permit holder must notify the EHD. Failure to notify this office may result in permit <br />revocation and penalties. <br />Signature <br />O' 3-compartment sink <br />0 Food preparation <br />S' Store refrigerated food <br />ET Overnight parking <br />hereby statejjaat the information I have provided is current, true and <br />atfdmeets the Califarflia Health & Safety Code requirements. If the food facility <br />editions of this^reement, or if this agreement is modified or cancelled, the <br />HJ5 immedi; <br />SANJOAQUIN <br />------COUNTY <br />Grec tn