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SANJ O A Q U I N Environmental Health Department <br /> COUNTY— <br /> Food <br /> OUNTY • • • Production <br /> 1. indicate the location where you will store food and equipment at the end of the day. <br /> Commissary Name: �Z40o / 4� l� y/ L A Z L C� Facility ID it: <br /> Address: Z!;_3 <br /> !;3 9 <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHERE WILL THE FOOD BE PREPARED? <br /> COMMISSARY ON-SITE <br /> FOOD ITEM <br /> El <br /> El <br /> ❑ ❑ <br /> ❑ ❑ <br /> 2. 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 <br /> Equipment Intended use during food preparation or catering event <br /> Refrigerator f/) f f I <br /> �l ,� e/1 -A Le tts,i <br /> Or; 11 c e 4rTya i al 0/-1 - 5"Ve. <br />