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Environmental Health Department <br />] <br />58808Y3Lie. Plate# <br />0 <br />3. <br />Date <br />1868 E. Hazelton Avenue | Stockton, California 95205 | <br />O' Electrical hook-ups <br />Toilet and handwashing <br />S' Potable water <br />S' Vehicle wash <br />! 203 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />SAN JOAOUIN <br />------COUNTY------- <br />Great lie: s arc- : <br />COMMISSARY AGREEMENT <br />Mobile Food Facility ♦ Caterer <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 />730 S CALFORNIA ST <br />STOCKTON, CA 95203 <br />g? Wastewater disposal <br />O Solid waste disposal ' ” <br />Hot & Cold water for cleaning <br />3 Store dry food/supplies <br />I, <br />+u u—-------------- --------------- -------’ ,,c,cuy OLcnc i"di me iniormation 11 <br />nZrTTfT^TTTTCCd93’andmeetStheCal/OmiaHealth&SafetyCode' ■ <br />eement, or if this agreement is modified or cancelled, the <br />Business Name Winner's Food Truck LLC <br />Owner/Operator Name Edward Lopez <br />Business Mailing Address 315 E French Camp Rd Unit 206 <br /> <br />City French Camp stateCA Zin 95231 Bus. Ph. 209-905-2250 A|t ph 209-981-7967 <br /> Lu . f;-------—------------------------------ - hereby state that the above information is current true and correct tn <br />SafeN Code^nd 9 ?e t0 my aPPr°Ved commissary in accordance with California Health & <br />rnmmi C d : T S Joaqu'n County Environmental Health Department (EHD) requirements If the use of the <br />revoZn^VpeXUed’ mUS‘ "°tif*the EHD’ Fail^ "Otify this office may result in permit <br /> <br />Signaturejg^^^./^^^ Date 6/17/26 <br /> <br />llOVbTcompleted byYoMMISSARY OWNER/OPERATOR <br />Commissary Name California Catering Truck Wash <br />Address 730 S California St <br />c' ty Stockton Z i p 95203 <br />Check all appropriate services provided: <br />St 3-compartment sink <br />S’ Food preparation <br />Store refrigerated food <br />S' Overnight parking <br />. hereby state that the information I have provided is current true and <br /> Signature^yLL^^^ Date 6/17/26 <br />To bg completed by the ENV HEALTH jurisdiction outside of San Joaquin CoTj <br />The commissary is located in ( x -.x <br />commissary requirements in Hea.th & Safety Code. <br />above commissary. Please notify EHD if the status of their operating permit changes. <br />REHS Signature <br />FA# 209-464-9707 <br />Bus. Phone 209-271-1741 <br />Owner/Operator Salvador Buenrostro & Carmen Riynra