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COMPLIANCE INFO_2016
EnvironmentalHealth
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1600 - Food Program
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PR0538943
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COMPLIANCE INFO_2016
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Entry Properties
Last modified
12/29/2020 3:50:01 PM
Creation date
12/9/2018 1:47:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016
RECORD_ID
PR0538943
PE
1608
FACILITY_ID
FA0022367
FACILITY_NAME
HONEYDALE BEEKEEPING
STREET_NUMBER
7703
STREET_NAME
WOODSIDE
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11661041
CURRENT_STATUS
01
SITE_LOCATION
7703 WOODSIDE DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\W\WOODSIDE\7703\PR0538943\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
3/31/2016 10:20:27 PM
QuestysRecordID
2855822
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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I <br /> 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 "Class <br /> A" and "Class B° CFO products must be deiivered dir^ ectly (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, CIJPH registration and state and federal <br /> requirements. <br /> 8. Owner's Statement: <br /> I &eo u e_, agree to grant access to the local health <br /> department to coh6uct an inspection of my cottage food operation (mark one) <br /> "Class A": In' the event of a consumer ❑ "Class E": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> -0-c UA a 0a <br /> agree to notify the San Joaquin County <br /> Environmental--Health 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 is sold, consigned, or given away. <br /> A ZI—L <br /> O(;�naturePrint N e Date <br /> EHD 16-29 1123114 2 CFO REG/PERMITTING RENEWAL FORM <br />
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