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SAN JOAQUIN <br />COUNTY <br />SALVADOR BUENROSTRO <br />CJI�A CALIFORNIA CATERING TRUCK WASH <br />730 S CALIFORNIA ST <br />STOCKTON, CA 95203 <br />COMMISSARY AGREEMENT <br />Mobile Food Facility Caterer <br />Complete sections 7 and 2. If your commissary is located outside of San Joaquin County also complete section 3. <br />1. To be completed DY APPLICANT <br />Business Name DAPPER DOGS Lic. Plate # 1 EM5060 <br />Owner/Operator Name RICHARD MARK MCCLOSKEY <br />Business Mailing Address <br />212 E HARPER ST <br />City STOCKTON State CA Zip 95204 Bus. Ph. 209-9225136 Alt. Ph. <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 holder must notify the EHD. Failure to notify this office may result in permit <br />revocation and penalties. A <br />Signature <br />Date 4/16/2025 <br />'� 2. To be completed by COMMISSARY OV1/NER/OPERATOR <br />Commissary Name California Catering Truck Wash FA# 209464-9707 <br />Address 730 S California St <br />Stockton <br />Bus. Phone 209-271-1741 <br />City <br />Zip 95203 Owner/Operator Salvador Buenrostro &Carmen Rivera <br />Check all appropriate services provided: <br />a <br />Wastewater disposal 3 -compartment <br />M <br />Solid waste disposal <br />W Hot & Cold water for cleaning <br />El <br />Store dry food/supplies <br />sink <br />Food preparation <br />Store refrigerated food <br />Overnight parking <br />��' Electrical hook-ups <br />Toilet and handwashing <br />Vehicle wash <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 o comply ith the conditions o this agreement, or if this agreement is modified or cancelled, the <br />commissary ner shah nn tify the EHD imme i tely.0121 RMITAFRIAN N M AM Date 4/16/2025 <br />3. To be com leted b the ENV HEALTH jurisdiction outside of San Joaquin Co. <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 />REHS Signature <br />Date <br />1868 E. Hazelton Avenue I Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/ehd <br />