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S—A—AJO HQ U IN <br /> Production <br /> Environmental Health Department <br /> COUNTY— • • • <br /> • • • <br /> 1. Indicate the location where you will store food <br /> and equipment at the end of the day. <br /> CommissaryName: ae,-n.:k V* C&Vw're`n� _�s� Facility D ri: <br /> Address: eA 5336 <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage Items for sale. WHERE wIU THE woo BE PREPARED? <br /> FOOD ITEM COMMISSARY ON-SITE <br /> �� ► ori i Lo hi h acid C Oto o' o' <br /> Variul�lPTUA ; chili i Vd(6aj`-r0hed( ®' o' <br /> Vaal h�rd6he) Wb o" �- <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 /> auc <br /> ars ro � <br /> S �`r <br /> XVII Nl, <br />