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Environmental Health Department <br />8C47188Lie. Plate # <br />Alt. Ph. <br />I <br />5/29/25 <br />FA# 209-464-9707 <br />Bus. Phone 209-271-1741 <br />Stockton Owner/Operator Salvador Buenrostro & Carmen Rivera <br />S' Vehicle wash <br />Date 5/29/25 <br />REHS Signature Date <br />commissary o <br />Signature_ <br />The commissary is located in County. The above food facility meets the <br />commissary requirements in California Health & Safety Code. The above checked services are available at the <br />above commissary. Please notify EHD if the status of their operating permit changes. <br />Commissary Name <br />Address <br />G? Electrical hook-ups <br />S' Toilet and handwashing <br />S' Potable water <br />COMMISSARY AGREEMENT <br />Mobile Food Facility ♦ Caterer <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420) F 209 464-0138 | www.sjgov.org/ehd <br />SAN JOAQUIN <br />COUNTY— <br />Greotness arowj here. <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 />California Catering Truck Wash <br />730 S California St <br />Date <br />Safety Code, and San Joaquin Coui <br />commissary is disepntir <br />revocation and penalpes <br />Signature <br />SALVADOR BUENROSTRO <br />DBA CALIFORNIA CATERING TRUCK WASH <br />730 S CALFORNIA ST <br />STOCKTON, CA 95203 <br />Business Name Halal Haus Taqueria <br />Owner/Operator Name Miguel A Ventura <br />Business Mailing Address 2277 Learned Ave <br />City Stockton StateCA Zip 95205 Bus. Ph. 209-518-7014 <br />I. , hereby state that the above information is current, true and correct to <br />the best of my knowledge and agree to utilize my approved comm^sary in accordance with California Health & <br />- J San Joaquin County Environmental Health Department (EHD) requirements. If the use of the <br />gntique'd, the permit holder mitet notify the EHU. Faijure to notify this office may result in permit <br />2. To be completed by COMMISSARY OWNER/OPERATOR <br />O' 3-compartment sink <br />S' Food preparation <br />S' Store refrigerated food <br />S Overnight parking <br />, hereby^state that the information I have provided is current, true and <br />, and meets the California Health & Safety Code requirements. If the food facility <br />< with/the'conditions of thjg;agreement, or if this agreement is modified or cancelled, the <br />idr shall no/fy the EHt3 immedi. <br />City Stockton Zip 95203 <br />Check all appropriate services provided: <br />Q Wastewater disposal <br />0 Solid waste disposal <br />0 Hot & Cold water for cleaning <br />0 Store dry food/supplies <br />I, <br />correct to the best of my knowh <br />operator fails jtc/fcomply <br />3. To be Completed by the ENV HEALTH jurisdiction outside of San Joaquin Co.