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SANJ O A Q U I N Environmental Health Department <br /> _ COUNTY— - <br /> • • • Production <br /> 1. Indicate the location where <br /> J/you will shore food and equipment at the end of the day. <br /> Commissary Name: �� /s �dU l t"/pwli Facility ID#: <br /> Address: 7.� C I1—(cl r�-p Cry- 5,T_ S3TKi� <br /> F_ 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 /> ❑ <br /> es Ell ❑ <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 <br /> 2of4 <br />