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COMPLIANCE INFO 2017-PRESENT
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PR0541125
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COMPLIANCE INFO 2017-PRESENT
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Entry Properties
Last modified
1/17/2019 1:33:19 PM
Creation date
12/10/2018 8:41:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-PRESENT
RECORD_ID
PR0541125
PE
1609
FACILITY_ID
FA0023549
FACILITY_NAME
CRYSTAL ROSE CONFECTIONERY
STREET_NUMBER
3034
STREET_NAME
CELEBRATION
STREET_TYPE
DR
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
3034 CELEBRATION DR
P_LOCATION
02
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS3\D\DOUGLAS FIR\2566\PR0541125\COMPLIANCE INFO 2017-PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2017-PRESENT
QuestysRecordDate
8/11/2017 6:41:05 PM
QuestysRecordID
3573340
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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r . <br /> T� <br /> 9. Em to ee: Initial if you agree to abide by the following: LQ <br /> understand that I may not have more than one full-time equivalent cottage food employee, not <br /> including a family member or household member of the cottage food operator,.working within the <br /> registered or permitted area of a private home where the cottage food operator resides and where <br /> cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to <br /> consumers. <br /> 10. Gross Annual Sales: Initial if you agree to abide by the following: Q <br /> I understand that I will lose my CFO status and will need to become permitted in a commercial facility if - <br /> my CFO business exceeds the following gross annual safes figures for the calendar years in the <br /> n <br /> followig table: <br /> Calendar Year Gross Annual Sales <br /> In2013....................................................................:.............. ..............................$35,000 <br /> IIIn 2014..........................:......................................................... ........$45,000 <br /> In 2015 and in subsequent years..................................:....................................$50,000 <br /> 11. Delivery Limitation: Initial if you agree to abide by the following: LQ <br /> 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 delivered direct) (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 /> regulated b and subject <br /> to CDPH registration and state and federal <br /> delivery method as deliveries are g y, 1 g <br /> requirements. <br /> 12. Owner's Statement: <br /> I t. agree to grant access to the local health <br /> department to conduct an inspection of my cottage food operation (mark one) <br /> ❑ "Class A": In the event of a consumer "Class 13": For regular.annual facility <br /> complaint or reported food-borne illness inspections and in the event of a consumer <br /> complaint or food-borne <br /> I, _L 5 Qa agree to notify the San Joaquin County <br /> Environmental Health Department prior to modifying my food list, type of operation, and/or method <br /> j 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 /> _Zee'l umaa_ Ur 09 !E SA 0 <br /> Owner's Signature Print Name Date <br /> f <br /> 4 <br /> I EHE 16-2711612014 4 CFO REGIPERMITTING FORM <br />
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