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Environmental Health Department <br />1. <br />Indicate all the food and beverage items for sale.Where will the food be prepared? <br />COMMISSARY ON-SITEFOOD ITEM <br />y-L jZmo <br />2. <br />Equipment Intended use during food preparation or catering event <br />Refrigerator <br />yj&kr CaoljzZ ft L fjn a cks1' <br />’Sat- (Wir <br />9 nf A <br />Food Production <br />SAN JOAQUIN <br />-----COUNTY------ <br />Facility ID#: <br />MENU DESCRIPTION <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 />Indicate the location where you will store food and equipment at the end of the day. <br />Commissary Name: I t <br />Address: