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COMPLIANCE INFO_2019
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1600 - Food Program
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PR0544177
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
5/13/2021 4:43:32 PM
Creation date
3/22/2019 11:30:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0544177
PE
1608
FACILITY_ID
FA0025119
FACILITY_NAME
KISS MY TREATS
STREET_NUMBER
1661
STREET_NAME
BAINBRIDGE
STREET_TYPE
WAY
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
1661 BAINBRIDGE WAY
P_LOCATION
05
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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C A NA O A X11 I IN <br /> Environmental Health Department <br /> SANA <br /> —COUNTY- <br /> 7. <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 A"and <br /> "Class B" CFO products must be delivered directly(in person)to the customer. The CFO products may not be <br /> delivered via the United States Postal Service, UPS, FedEx, or using any other indirect delivery method as <br /> deliveries are regulated by, and subject to, CDPH registration and state and federal requirements. <br /> 8. Owner's Statement: <br /> I, Af 6f J(il)a agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> u "Class A": In the event of a consumer ❑ "Class B": 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 /> I. Y Im�,i- Cyor4 agree to notify the San Joaquin County Environmental <br /> Health Department prior to modifying my food list, type of operation, and/or method of selling, distributing, or <br /> otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br /> consigned, or given way. <br /> Adn6l ['yanb421 b2b <br /> Owner's Signa re Print Name Date <br /> 2 oft <br />
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