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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544352
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COMPLIANCE INFO
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Entry Properties
Last modified
5/7/2019 8:54:05 AM
Creation date
5/7/2019 8:46:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544352
PE
1681
FACILITY_ID
FA0025211
FACILITY_NAME
ATZIMBA CATERING LLC
STREET_NUMBER
259
Direction
S
STREET_NAME
GUILD
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
259 S GUILD AVE
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN Environmental Health Department <br /> C O U N T Y <br /> 1jreotness grows here. <br /> Catering Standard Operating Procedures <br /> All documents listed below must be submitted to the San Joaquin County Environmental Health Department <br /> (EHD) prior to beginning catering operations. A field consultation will also be conducted at the proposed <br /> commissary to verify that the location is suitable for your catering functions. A signed copy of this document as <br /> well as your Environmental Health permit must be maintained with your Catering Operation during all operating <br /> hours. <br /> Please note that any changes to the menu,equipment, or procedures listed on the approved form will require <br /> approval by EHD. <br /> Catering Operation Name: �' Z i VK bC1 1 CeA /er, A,, U_L Facility ID#: <br /> Business Owner Name: AACI - �Cti OL Cs_ Phone #: <br /> E-mail: U r t c1 I ti ��C.�C7t)c� >✓� Website(if applicable) <br /> Mailing Address: (((I yytc� n S+x--e e t" City: S tJr5LM Zip Code: Cf�S�S <br /> Documents • Include <br /> ✓ Check the following items as you include them with this document. <br /> Application-Complete and submit the Service Request form. Ensure that all information is legible. <br /> �y Commissary Agreement-The Caterer must prepare and store all food and equipment at a commissary kitchen <br /> L✓1 (permitted food facility).The Caterer and their proposed commissary must complete and sign the commissary <br /> agreement.Caterers are subject to limited food preparation only(HSC 113818(a)(4))when conducting direct- <br /> sales at a host facility. <br /> Specification Sheets- Submit specification or cut sheets for your equipment, including the portable <br /> ❑ mechanical refrigeration, overhead protection/enclosure, and portable hand-washing sink(s) carts that will <br /> be utilized during a Catering event. Provide documentation that shows the certification for sanitation and <br /> electrical standards by an American National Standards Institute(ANSI)accredited certification program such <br /> as NSF, UL, ETL, etc.for food equipment. <br /> Menu- Include any menus. List all food and beverages items to be sold. (Refer to page 2&5) <br /> FK Food Protection Manager Certification-Provide proof that an owner or employee has a valid Food Manager <br /> �J certificate. <br /> Ll Food Handler Card- Provide documentation that all employees have a valid California Food Handler Card. <br /> Log- A written log must be maintained for a minimum of 90 days after each operation to include the event <br /> organizer name and contact information, location of service, menu of foods and beverages served. When <br /> operating at a host facility, the log shall include your menu and location/date/time of operation. Please <br /> describe how you will log this information (i.e. What type of database) and provide a sample of that log. <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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