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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544443
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COMPLIANCE INFO
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Entry Properties
Last modified
6/6/2019 2:49:54 PM
Creation date
6/6/2019 2:47:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544443
PE
1681
FACILITY_ID
FA0025267
FACILITY_NAME
SELINA'S SHAVED ICE
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16904012
CURRENT_STATUS
01
SITE_LOCATION
1717 S UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN J D A Q U I N Environmental Health Department <br /> —COUNTY— <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 !dame: �{ /10 lkf. �jct� c' �� ��� Facility !D#: �iGf'q�j 1-5 915 <br /> Business Owner Name: /l��� ��� Phone #: <br /> E-mail:Jit_ -� ' 1 SLS J/7�L C �I C��3 c jinCtt��r Nlebsite(if applicable) <br /> Mailing Address: ��/�'��_�J. �JG'I) �(Jf►'� city: /7>Cl� -� Zip Code: /— t�xCJ <br /> Documents toInclude <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 /> Commissary Agreement-The Caterer must prepare and store all food and equipment at a commissary kitchen <br /> (permitted food facility).The Caterer and their proposed commissary must complete and sign the commissary <br /> ap,reement.Caterers are subject to limited food preparation only(HSC 113818(a) (4))when conducting direct- <br /> ales at a host facility. <br /> pecification Sheets- Submit specification or cut sheets for your equipment, including the portable <br /> r--i 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 /> s 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 /> Food Protection Manager Certification- Provide proof that an owner or employee has a valid Food Manager <br /> certificate. <br /> 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 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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