Laserfiche WebLink
Environmental Health Department <br />Complete sections 1 and 2. <br />07782L4Lie. Plate # <br />6/5/26Date <br />JO n <br />6/5/26Date <br />*€o. <br />REHS Signature Date <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />to ©3UQ? <br />O' 3-compartment sink <br />S' Food preparation <br />S' Store refrigerated food <br />S Overnight parking <br />>, hereby st; <br />3. To be <br />The commissary is located in C — - <br />commissary requirements in California Health & Safety Code. The above checked services are available at the <br />COMMISSARY AGREEM <br />Mobile Food Facility Caterer <br />\ SAN-JOAOUIN <br />------COU NTY------- <br />Crectnei- grov.-s here. <br />If your commissary is located outside of San Joaquin County also complete section 3. <br />S Electrical hook-ups <br />S Toilet and handwashing <br />S Potable water <br />S Vehicle wash <br />that the information I have provided is current, true and <br />meets the Cali^rnia Health & Safety Code requirements. If the food facility <br />ireement, or if this agreement is modified or cancelled, the <br />Commissary Name <br />Address <br />City__ Stockton Zip 95203 <br />Check all appropriate services provided: <br />EJ Wastewater disposal <br />S' Solid waste disposal <br />0 Hot & Cold water for cleaning <br />0 Store dry food/supplies <br />I.___________ <br />correct to the bi <br />operator fails. t6 comply with the <br />commissary < iwm <br />Signature______ <br />California Catering Truck Wash FA# 209-464-9707 <br />—Z30 S California St bus. Phone 209-271-1741 <br />Stockton---------------Zip---------95203 Qwner/Operator Salvador Buenrostro & Carmen Riyera <br />hDA n SALVADOR BUENROSTRO <br />DBAC^^NsWCSaTKWASH <br />STOCKTON, CA s?5203 <br />Business Name Taco Loco <br />Owner/Operator Name Victor Salazar <br />Business Mailing Address 44 S Dawes Ave <br />City Stockton StateCA Zip 95203 Bus. Ph.209-922-1315 Alt ph <br />-—— ------ ------------------------------------------- hereby state that the above information is current, true and correct to <br />e 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 <br />it pf my knowledge, a^ef <br />conditions of this <br />shall notify the iEHD immediately <br />ipfetedlWi <br />I” I ,A <br />ZVj___________________ _ <br />ALTH jurisdiction outside of San Joaq <br />County. The above food facility meets the <br />above commissary. Please notify EHD if the status of their operating permit changes.