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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1731
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1600 - Food Program
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PR0544065
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COMPLIANCE INFO
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Entry Properties
Last modified
3/4/2019 8:46:22 PM
Creation date
3/4/2019 3:59:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544065
PE
1608
FACILITY_ID
FA0025064
FACILITY_NAME
MS MAE'S SWEET WAY
STREET_NUMBER
1731
STREET_NAME
RAIL
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
1731 RAIL ST
P_LOCATION
04
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN10 A Q U I N Environmental Health Departmel <br /> COU NTY--- <br /> Example: <br /> MADE INA HOME KITCHEN <br /> Permit 4: 11345 <br /> Issued in count: County name <br /> Chocolate Chip Cookies With Walnuts <br /> Sally Baker <br /> 12;Cottage Food Lane <br /> A,tnIN•here.CA 90.XX_X <br /> Ingredients: Enriched flora(Wheat flour.niacin.reduced iron.thoinine. <br /> mononitrate.ribof vin and folic acid).butter mull:.salt).chocolate chips <br /> (sugar.chocolate liquor.cocoa butter.butterfat anilk). wahntts.sugar.eggs. <br /> salt.artificial Manilla extract,bakm soda. <br /> Contains:AN-heat.eggs,milk,soy.ivalnuts <br /> Net Wt.3 oz.(85.0498) <br /> Note:For the"Issued in County"-Identify the jurisdiction(city/county)where you are obtaining approval. <br /> 6. Disposal of Waste: <br /> Please check what type of treatment is used to dispose of waste <br /> Public Sewer Service ❑ Private Septic System <br /> In the event of septic system failure or plumbing problem,you are required to notify San Joaquin County Environmental Health Department <br /> immediately. <br /> 7. Water Source: <br /> Pease Identify the water source to be used in Cottage Food Facility(check one box) <br /> [S Name of Public Water System or Community Services District: <br /> ❑ Private Water Supply**, Identify the source (well, spring, surface, etc.): <br /> Private Water Supply:Initial Water Quality Results <br /> Check boxes below if initial water testing has been completed. <br /> All testing must be done at a State Certified Laboratory. Either attach lab results or provide name of lab, date& <br /> results in space provided next to type of test. <br /> *(Testing frequency for transient Non-Community Water Systems after initial testing) <br /> ❑ Bacteriological Test(quarterly*): <br /> ❑ Nitrate Test <br /> (yearly*): <br /> ❑ Nitrite Test(every 3 years*): <br /> —Additional information may be required if food is prepared from a home with a private water supply—check with local jurisdiction. <br /> 8. Food Processor Course: Initial if you agree to abide by the following: <br /> Within 3 months of being approved to operate by the Environmental Health Department, please provide proof <br /> of completion of the California Food Handler course in lieu of the California Department of Public Health <br /> (CDPH)food processor course. <br /> For more information see CDPH website www.cdph.ca.gov/programs/Pages/fdbCottageFood.aspx <br /> 4of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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