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Environmental Health Department <br />10 <br />12 <br />13 N.imes of f| <br />Important <br />14 <br />Health Permit <br />r*»- Kjr;- <br />CS.*. <br />Cxje.'e to#* <br />f,4h« <br />Ice Cooler <br />nt II <br />■ - - 2fJ <br />~1 <br />I <br />ib.- ’i L- rtazftfopn Avenue) Stock* >n, GaW <br />h * /• r» Arm < Fw Cjmnw* rmt <br />«>-• t««Ma a»cr«w 6*m* <br />o^y 0L'^.'lbe?ti? n?ui1 tw tnfc tooth at an hours ot <br />-------------------------- -trftf) weeks prior to <br />» J5 G» <br />»kr«J <br />ier~3 <br />ENT APP <br />T<a;r> t ..w. ♦-r <br />»lw*Xj Etafw <br />Hocih ffrvit be on <br />C«nctRio. Asphad <br />■F c<al»*p <br />F K______________J <br />js.bteptvsons toje pre^ m ^u, dljnO0 howi opera|k>f| <br />□ Water dispensff wrth wami g <br />C , On, senate lub of |be <br />□ Paprx towels and EUtHP^li!k»3> cwrtairw <br />this event <br />Censed b-y A^laA WVr.rkr'c a <br />Signature <br />J X............. — M J'j <br />I I — <br />SSSSZ “X’ ■» «•=•»-" <br />af <l Opera“on BEjuffl original |o testrval cwrtm'ator thi <br />___ra-l ifc|363 r <br />Title Date <br />■ ru t tnv <br />LI Ihreeconipaj-tnx^t <br />.one irf '“ *** *““' 'n^ a™’ m0 ,f’ -1 «*»> <br />• 1 ...... ’he f°f ’^hes bur ^par^. non, n my <br />COUNTY—- <br />—) yrom he/f <br />□ Refrigerator <br />CXc* bath lutu <br />SANJOAQUIN <br />— COUNTY---- <br />GreetntM ^r0H| hr/< <br />f bjm ymg tho f0|tewn[ ■ <br />•’ IH food ts used the toitowino dav <br />LI Ice chests <br />n Refrigpralptf |ru..k <br />O Other (specify i <br />cq 1-1 p'rct- rnt-jpa *'” 0 ni’ ,>X’n'for ** Wn*biry chjonirx) of food p’ewmrnn utensil