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COMPLIANCE INFO_2016-2019
EnvironmentalHealth
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1600 - Food Program
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PR0540888
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COMPLIANCE INFO_2016-2019
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Entry Properties
Last modified
8/5/2020 4:52:38 PM
Creation date
5/7/2019 9:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2019
RECORD_ID
PR0540888
PE
1609
FACILITY_ID
FA0023386
FACILITY_NAME
SUBURBAN HARVEST
STREET_NUMBER
5151
Direction
E
STREET_NAME
MORADA
STREET_TYPE
LN
City
STOCKTON
Zip
95212
CURRENT_STATUS
01
SITE_LOCATION
5151 E MORADA LN
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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1 <br /> 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 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 /> 8. Owner's Statement: <br /> I, AubAflew 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-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> I. agree to notify the San Joaquin County <br /> Environmental Health Departnt 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 /> Owner's ignature Print Name Date <br /> EHD 16-29 6/29/2015 2 CFO REGIPERMITTING RENEWAL FORM <br />
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