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COMPLIANCE INFO_2013-2019
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1600 - Food Program
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PR0538015
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COMPLIANCE INFO_2013-2019
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Last modified
5/14/2021 8:19:16 AM
Creation date
12/7/2018 9:22:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2019
RECORD_ID
PR0538015
PE
1608
FACILITY_ID
FA0021951
FACILITY_NAME
BUFFALO BAKING CO
STREET_NUMBER
4543
Direction
E
STREET_NAME
BALSAM
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08656030
CURRENT_STATUS
01
SITE_LOCATION
4543 E BALSAM DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\B\BALSAM\4535\PR0538015\COMPLIANCE.PDF
Tags
EHD - Public
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6. Food Processor Course: <br /> Attach food handler certification for owner and each individual that were not submitted with initial <br /> application (including family members and/or employees). <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, all ' lass <br /> A" and "Class B" CFO products must be delivered directly(in person) to the customer. The CFO products <br /> may not be delivered via the United States Postal Service, UPS, FedEx, or using any other indirect <br /> delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br /> requirements. <br /> 8. ner's Statement: <br /> I Q_ agree to grant access to the local health <br /> department to ccfpSuct an inspection of my cottage food operation (mark one) <br /> Class A": In the event of a consumer El "Class B": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> \/ ,1 ' - ,J, _ food-borne illness <br /> I. 1 �'l ' LJ��N.Q- TV agree to notify the San Joaquin County <br /> Environmetal alth Department prior to modifying my food list, type of operation, and/or method <br /> of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br /> regardless of whether the product'sold, consigned, or given away. <br /> wner's Signature Print e Date <br /> EHD 16-28 1/23/14 2 CFO REG/PERMITTING RENEWAL FORM <br />
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