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EHD Program Facility Records by Street Name
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TRISTAN
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1600 - Food Program
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PR0542195
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COMPLIANCE INFO
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Entry Properties
Last modified
7/23/2020 2:26:27 PM
Creation date
1/23/2019 11:24:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0542195
PE
1608
FACILITY_ID
FA0024232
FACILITY_NAME
NATIVE AMERICAN TREATS & CRAFTS
STREET_NUMBER
7068
STREET_NAME
TRISTAN
STREET_TYPE
CIR
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
7068 TRISTAN CIR
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
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"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 /> delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br /> requirements. <br /> 8. Owner's Statement: <br /> I, 1i a n l M C far to h 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 B": For regular annual facility inspections <br /> complaint or reported food-bome illness and in the event of a consumer complaint or <br /> food-bome illness <br /> r <br /> t, NH.a j- '`l -R r i0 ,h 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 /> c 10A <br /> Y 'owner's Signiffure Print Name Me <br /> I <br /> EHD 16296/29/2015 2 CFO REG/PERMrMNG RENEWAL FORM <br />
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