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Environmental Health DepartmentSAN JOAQUIN <br />2.Pm Mcwng <br />A L c <br />Ptmam <br />3 <br />5. <br />No<r T7w.’ t.irty -<•» <'xn -»4 Mtgurcd *-• sr baoTr. -ru thowi *r«2) t»r*^rnQes from <br />6 <br />3. <br />T. <br />fl. <br />A^«rovr«5 Vjr arn^ z»v.si jre -‘watf *.ss^ng w ■■ be pr'Adud in my tooth by Bxj SSfcj^-rvg mctJKxis: <br />C) -^ppTTr.^ OoCOeC wafer. <br />’-■ -W <br />I <br />^4 <br />^U.''ii‘ta’Ae«' Ssato.ca omasswsi T asHn r aawi^a—, <br />iiMpeviHiw <br />Note: Exjrnptes of poteoeu.?y haxardoas food irckKic <br />yegctahtet. potato wbd. cs<ss. arc dairy pnxlucti. <br />ft-l - <br />r~] o>.j4e ‘w r^* :«t' TkiC :> te a pXitfc- *~ ^r souroe. <br />Pl Ottvr (SpOCfjrj J< ~ ~ </> .. .•■-> '-Clt H(/t< CJJ i ut i ,x: <br />ra f«-jvOcd far -r/tuoe s use Ex Yes C No <br />' 5^ w ™ —- <br />I .in pn»x3ftj the Woms ttf lenpttttn corWd far th* M hokSng d al potenfo»y harantais loota «txM> <br />135 F. <br />nCaTCxSwo CjSWroi hcMlays <br /> CkxUe M. jm_r Steam latte & th <br />□aKacttwtop pJuSp- <br />meats, tamales, cooked boons, rico. <br />TEMPORARY FOOD VENDOR S APPL ICAT1ON <br />Al 4r«t nr^Ocws itof- •zjt ncr»<r_<'<- .*r n^a-rd ■:. ^e.i-n * and r<rrr^«<twJ COPY ff ,r‘ •n <br />r>» l>ne^ crrr^vKl rr~ . =»j z^rr fc, Frt «-rerX. { _ ,• <br />r iKot><*Eh>« l~ . ■ ■ . : ■ - ____________O^dlV'Liyi.' <br />;Pyr. - -a. r ■ /<-» <br />LrtJ tooc 82 heaoUc* gr»«r £>*k uXtC _ <br />■j.- <br />_____ Atemitn ■{••/^ ’ 'c,t - <br />__. .-7.-i.l .-^m. Xu^c;_____________ <br />• ir pn>rtdr»j € ■ ..I r-jf .-. MOT M ho- c 0 Y« Qj Nt> <br />AM *X«d a Xrrcxr^l crxia or n Sx«-a «r-^B«5 orrwai taciftes 0 Yrt L2 No <br />Nunw at tardtfy ■ > - - . __ 1 .___ j - •■^Jl>-- . P^cr» V •'‘.‘-jT'^i______ <br />A«a>Ti5»Gttec«rf _.2^. '__ ' r t-' b~tX Q.^r'cf(h~^_______ <br />r Jffl pcr-.-xir,; 4 tr»r.- m-? r . ks p<*.y»J -ny un^acluiijod food7ivd food preparation areas Horn Sos. <br />ijwrf amj re putAc f <br />[_J A bocC •afc a-ws orOng corttarucSed of cew wacx carrvas. p»-k*g. wmAjr m^k.-njd and fine raosh Ity <br />semanan^. c£>?<i> . y w-cju-j g opw ‘jod anun. n nrji .iEo tw»« a •j-«x<r and dnar»bin Ftxr (concrete, <br />J»t4n tjr^ .rii '.—••< iwrrf x<- *x*^A4i* I rtd OU r.VUCted » *.i fith’ fotitl fcwd Er».W;>’KMl <br />ji-tt-w trx- th* putac <br />O CrwvCAxcf).)__________________________________________ _______________________________________