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Environmental Health Department <br />1 and 2. If your commissary is located outside of San Joaquin County also complete section 3. <br />Lie. Plate#R3Q2377 <br />Bus. Ph. 803-246-1761 Alt. Ph. <br />5/22/25Date <br />2. To be completed by COMMISSARY OWNER/OPERATOR <br />California Catering Truck Wash FA# 209-464-9707 <br />Bus. Phone 209-271-1741 <br />Stockton 95203 Owner/Operator Salvador Buenrostro & Carmen Rivera <br />ET Vehicle wash <br />Date 5/22/25 <br />3. To be <br />Date REHS Signature <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />The commissary is located in County. The above food facility meets the <br />commissary requirements in California Health & Safety Code. The above checked services are available at the <br />above commissary. Please notify EHD if the status of their operating permit changes. <br />□' Electrical hook-ups <br />O' Toilet and handwashing <br />ET Potable water <br />SALVADOR BUENROSTRO <br />DBA CALIFORNIA CATERING TRUCK WASH <br />730 S CALFORNIA ST <br />STOCKTON. CA 95203COMMISSARY AGREEMENT <br />Mobile Food Facility ♦ Caterer <br />Business Name Tasty Aroma <br />Owner/Operator Name Vishwanath Peddyreddy <br />Business Mailing Address 3230 Shrute Dr. <br />City Lathrop StateCA Zip 95330 <br />I,, hereby state that the above information is current, true and correct to <br />the best of my knowledge and agree to utilize my approved commissary in accordance with California Health & <br />Safety Code, and San Joaquin County Environmental Health Department (EHD) requirements. If the use of the <br />commissary is discontinued, the permit hokjer must notify the EHD. Failure to notify this office may result in permit <br />revocation and penalties. . \\ <br />S ig natu re _____ <br />SAN JOAQUIN <br />COUNTY- <br />i^ess grows here. <br />O' 3-compartment sink <br />O' Food preparation <br />ET Store refrigerated food <br />O' Overnight parking <br />I,, hereby state that the information I have provided is current, true and <br />correct to the best of my knowledge, and meets the California Health & Safety Code requirements. If the food facility <br />operator fails to comply with the conditions of this agreement, or if this agreement is modified or cancelled, the <br />commissarOWner shall notify the EHD iifiAiediately. <br />3. To be (Completed by the ENV HEALTH jurisdiction outside of San Joaquin Co. <br />MW U <br />-cmtal healvb <br />| 1- To be completed by APPLICANT <br />Commissary Name <br />Address 730 S California St <br />City Stockton Zip <br />Check all appropriate services provided: <br />Q Wastewater disposal <br />0 Solid waste disposal <br />0 Hot & Cold water for cleaning <br />0 Store dry food/supplies