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Environmental Health Department <br />1. <br />Where will the food be prepared? <br />COMMISSARY ON-SITEFOOD ITEM <br />2. <br />Equipment <br />Refrigerator <br />a 4- »v\ a <br />o <br />2 of 4 <br />Food Production <br />SANJOAOUIN <br />-COUNTY— <br />Indicate the location where you will store food and equipment at the end of the day. <br />Commissary Name: ^^?hiiity id #: <br />Address: **7^0 <br />MENU DESCRIPTION <br />Indicate all the food and beverage items for sale. <br />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 />Intended use during food preparation or catering event <br />g m _^-oocl <br />cled~xT<^ (