Laserfiche WebLink
meats, tamales, cooked beans, rl <br />f <br />s <br />IHe <br />HlR■■ft. :—.—i.’v** <br />-as Environm-n^^H^^B iBaWr: “■Mrtm.nt , <br />^o^v8NDOR.8APPL|CAT|QN <br />m> —~~ ^9^c' <br />■BslE,,‘fflta:us-^—- •“-■ — —,ve"to ,ha pub,,c: L^Lu i u^_2Z ----- <br />■Ifc <br />TC^8’^0 Sfood IreaT if Kso^ave P'88^ matBria' and r'ne me^ <br />x sr—*- - —- ~ s(x~ <br />- ; .C^>^ <br />A/’ ' O"X^those^^^^w.t8rfordrinkln9.ut9ns„andhandwashingwi)ibe^ <br />■□ Approve botttad wat9r. <br />0n~*119 h0” bib tb,t is «>nn«tod to a potable water source. <br />^Stwr-, rSwT’ ‘ArtB«r rmes of bo«hbopemnon:'n Ves □^o11'6 "* '** Bna ““ l**1* «***» MuHw <br />■fer* - gy - - R-Jt - <=.«.»„., hTO „ <br /> Camp stove Q sterno & hotQ| trays <br />' OO Doubl° ^er D steam table & lids <br />^^S^lect^ stove tQP □ other (specify) <br />; ot potentially hazardous food Include: <br />**’potito M,adi •flflii and dairy products. <br />Hsx^lton Avonua I Stockton, California 952051 T 209 488-34201 F 209 464-0138 I www.sjcehd.coi <br />fe- P<9«7 0f11 TEMP EVE