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Environmental Health Department <br />1. <br />Commissary Name: Facility ID #: <br />Address:2251 W ARANT I INF RD SI IITFS 12ft <br />MENU DESCRIPTION <br />Indicate all the food and beverage items for sale.Where will the food be prepared? <br />ON-SITECOMMISSARYFOOD ITEM <br />XSWEET BREAD <br />(It's like sweet bread, add brown sugar)PULIGI BREAD <br />SQ \ I (ob <br />□ <br />□ <br />2. <br />Intended use during food preparation or catering eventEquipment <br />Refrigerator STORE INGREDIENTS <br />Flour Mixer MIX FLOUR <br />Stove Goods Cook <br />2 of 4 <br />Food Production <br />Indicate the location where you will store food and equipment at the end of the day. <br />TRACY QUICKLEY <br />SAN JOAQUIN <br />- COUNTY <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