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tnvironmentai Health Department <br />Complete sections 1 and 2. If your commissary is located outside of San Joaquin County also complete section 3. <br />1. To be completed by APPLICANT <br />Greekalicious VIN#: 3C91A2180S9248229 <br />9/15/2025Date <br />FA# <br />Owner/Operator95818 <br />Date <br />REHS Signature. <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 lwww.sjgov.org/ehd <br />Bus. Phone <br />Arjun Dheer <br />El Electrical hook-ups <br />Q Toilet and handwashing <br />Q Potable water <br /> Vehicle wash <br />dAN JUAUUIIN <br />- COUNTY------ <br />COMMISSARY AGREEMENT <br />Mobile Food Facility ♦ Caterer <br />El 3-compartment sink <br />0 Food preparation <br />0 Store refrigerated food <br />0 Overnight parking <br />hereby state that the information I have provided is current, true and <br />City Sacramento Zip <br />Check all appropriate services provided: <br />g Wastewater disposal <br />H Solid waste disposal <br />0 Hot & Cold water for cleaning <br />0 Store dry food/supplies <br />I Ariun Dheer______________________-> r,ereDy STaie inaiine iHioiinauuii > nave piuviu^ — <br />correct to the best of my knowledge, and meets the California Health & Safety Code requirements If the food facility <br />. ..x-- *------^,^1,, ...ifh tha ™nHitinnQ nf this agreement, or if this agreement is modified or cancelled, the <br />Business Name <br /> Owner/Operator Name Arjun Dheer------------------------- --------------------------------------------------------------------------- <br />Business Mailing Address 2010 Blue Oaks Blvd., Ste 140--------------------------- ------------------ <br /> City Roseville State CA Zip 95747 Bus. Ph 661-487-6104-----Alt. Ph.----------------------------- <br />I Arjun Dheer , 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 J <br />2. To be completed by COMMISSARY OWNER/OPERATOR <br /> Commissary Name The Great Greek Mediterranean Grill <br />Address 3700 Crocker Dr, Ste 100 <br />operator fails to comply with the conditions of this agreement, or if this agreement is modified or cancelled, the <br />commissary owner shall notify the EHD immediately. <br />\l/ Date 9/15/2025Signature _______________________________________ 1 --------------------- <br /> <br />~3. To be compk-tpH hy the ENV HEALTH ju rTsdiction outsideof SajiJoagujnCoJ <br />T1 , • in Sacramento County. The above food facility meets the <br />commissary requirements in California Health & Safety Code. The above checked sen/ices are available at the <br />above commissary. Please notify EHD if the status of their operating permit changes. <br /> 1(^—4.Date