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SANJ O A Q U I N Environmental Health Department <br /> -COUNTY <br /> Food ' • • • <br /> 1. Indicate the location where you will store food and equipment at the end of the day. <br /> Commissary Name: Facility ID q: <br /> Address: <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 /> 5�\kl.,m-k rOSG a C�1' ❑ <br /> C ,se ❑ <br /> I�UItS C� ❑ <br /> ui C� ❑ <br /> C�o��S ❑ <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 Ul `�,Vl <br /> 4-b Ci k-� enoducc <br /> cut v� b�oud pr�vic� 5Lj\(R(_e -jam c pnx)uce <br />