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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ALBERTINA
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1600 - Food Program
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PR0542040
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
3/4/2021 4:14:24 PM
Creation date
7/24/2019 11:55:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0542040
PE
1608
FACILITY_ID
FA0024135
FACILITY_NAME
GLITZY DESSERTS
STREET_NUMBER
455
Direction
E
STREET_NAME
ALBERTINA
STREET_TYPE
AVE
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
455 E ALBERTINA AVE
P_LOCATION
03
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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t' Environmental Health Department <br /> AN OAQU1 <br /> COUNTY <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: <br /> 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 /> 1, O'n. -1f bi , agree to grant access to the local health department to <br /> 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 /> 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 away. <br /> r,,-,1a_ .14106h <br /> Owner's gignature Print Name Date <br /> 2 of 2 <br />
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