Laserfiche WebLink
• <br />SA JOAOUIN <br /> Environmental Health Department <br />COMMISSARY AGREEMENT <br />IN 25 owls <br />1-PoomP1ffEokoLiTe * <br />. , <br />I r • 1 ' 1 <br />.1, To be Completed by APPLICANT <br />BuSinsaSs Narno !•4(>t, I I <br />Owner.e.soel-atcw N Altrt.v1..1ru ,: A l.11,t <br />usress M.3n Address 1141 W Aipi - ;11 • 1 <br />S tcc; kt0 StateCA 2:9952?;:-1 B... <br /> <br />r tjj <br />beat Of my imatAi+PdIp ii-4..a+offf, to Was my d;.e .E11.4 1 11 I. 11 <br />Safety Code. and S,, .--, 96unty EnvirOnrnentall tiCaltr 2 `.1 :' <br />C•rnmIllS•ary ChSccr •• • perms; holder must not iffy the EH', <br />revrxatior ard pera - <br />2. To be completed by'cOMMISSARY OWNER/OPERATOR <br />0(rrrissary, Na -' T.•''J T! <br /> # <br />Address 73:Q._a_ca.ljc,yr_ <br />COY Stockton tip 4 - 4 ,, 4. -;•‘...11 ,, - • <br />check al f apprGpriii#0 Sty, <br />Q Wastewa!er JvJia <br />Sok, ..vaVe dtsposai <br />B :-tot & Cold 'Nate( for <br />Sims dry food;llipplicf, <br />a 1-,..,cittipzortrri4.,,nt sip& <br />a hood propitrAtton <br />ra store riongerated <br />ovotp4ght p4ok.4,,j <br />E- <br />Gif Pc:table <br />fa•,..otstClft <br />I <br />,--i),red liJ title belil of my knowtodge and reetta the CatAcurritafrtealth i Seety Codo requcrerhents If it, stx:d t <br />operator ftltrls to C4Cflfl iy *tth DV cf.-0)4010n,,4i thts orgreemeht or if ?Ns ogroornAtnt ts recodittoo or c,ars,c, <br />D. urnmoslartaNr,r 1i4 notly the EHQ tro 0 holy <br />SINOL/f0.1 . t` <br />, "V atlil <br />TK* .rnrnimory cl iotatod in , t 4604•01 #06.1si ft4•17,413r) I trypts tINe <br />cominisstialy itiquirignonisn citliforro 14.44th S Safety Cud, Ttie! eilxvve ch4otot1 tterN-oli.NA AI* 4'1( tiNte <br />M. Nincrwossfy, Pkvase not EH() if Ms Mahal of ttvoit opocatmg writ ch4vvot <br />pfs Distrit <br />hereby %tem thAthe trlormation I havo proyKied trk_e <br /> Data_k_ 19 ak)t.',4 <br />ism t waifort Avontai ifeekkift CII.Offte MOW ZOO 491144201 F 2O9 4M* wytoi 1/0:04 orciotx