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EHD Program Facility Records by Street Name
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GRAFTON
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1600 - Food Program
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PR0540784
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COMPLIANCE INFO
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Entry Properties
Last modified
5/1/2020 2:05:24 PM
Creation date
5/6/2019 8:03:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0540784
PE
1608
FACILITY_ID
FA0023316
FACILITY_NAME
KESSA'S CREATIONS
STREET_NUMBER
951
STREET_NAME
GRAFTON
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
02
SITE_LOCATION
951 GRAFTON ST
P_LOCATION
04
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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9. Employee: Initial if you agree to abide by the following: - 5 <br /> 1 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. Delivery Limitation: Initial if you agree to abide by the following: �55 <br /> 1 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 directly (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 /> 11. Owner's Statement: <br /> 1, I cc, agree to grant access to the local health <br /> department to conduct an inspection of my cottage food operation (mark one) <br /> Zr"Class A": In the event of a consumer ❑ "Class B": 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 /> 1, 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 /> _3e551cc Su ,� Z— W - kL_7 <br /> Owner's Signature Print Name Date <br /> EHD 16-276/29/2015 5 CFO REG/PERMITTING FORM <br />
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