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environmental Heaitn Department <br />VIN#: 3C91A2180S9248229 <br />9/15/2025Date <br />Owner/Operator <br />REHS Signature. <br />?£ 004-33 <br />dAIN JUAlJUm <br />—county— <br />commissary owner shall notify the EHD immediately <br />Signature <br />'££! Electrical hook-ups <br />Q Toilet and handwashing <br />3 Potable v^ater <br /> Vehicle wash <br />is current, true and <br />If the food facility <br />if this agreement is modified or cancelled, the <br />El 3-compartment sink <br />y Food preparation <br />53 Store refrigerated food <br />Overnight parking <br />, hereby state that the information I have provided <br />COMMISSARY AGREEMENT <br />Mobile Food Facility Caterer <br />Compfete sections 1 end 2. If your commissary is located outside of San Joaquin County also comptete section 3 <br /> <br /> <br />1. To be completed by APPLICANT <br />Greekalicious <br />1868E. Hazelton Avenue | StocKton, California 95205 ! T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />Business Name <br />Owner/Operator Name Arjun Dheer------------------------------------- - ------------------------------ ----- - — <br /> <br /> Business Mailing Address 20! 0 BlueOak^lvd.^Ste 140 <br /> City Roseville State CA Zip_95747_Bus. Ph.66E48J-.610 4 Ait. Ph------------------------- <br />Arinn Dheer hereby state that the above information is current, true and correct to <br />revocation and penalties. <br /> Signature I , <br /> <br /> eTTn^EtedbFcOM MISS ARYOWN1R/OPER ATQR <br /> Commissary Name LhEGre^meeJr Mediterranean GriU--------------FA#----------- <br />Address. 3700 Crocker Dr, SteJOO Bus. Phone.--------------------- <br /> City Sacramento ZiP^5818 Owner/Operator-Arjun Dheer <br />Check all appropriate services provided: <br />Wastewater disposal <br />I3 Solid waste disposal <br />El Hot & Cold water for cleaning <br />El Store dry food/supplies <br /> <br />. <i f.r. . it run ;r-vtorliatoI\/ <br /> t 'nate_9/-|5/2025 <br /> <br /> H.TobetXimpletedMthTNYHEALTHju^dictionoutsideofSaiWoaquin.CoJ <br />Sacramento County. The above food facility meets the <br />The commissary is located in —Code Th7Tbove checked services are available at the <br /> --------