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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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MARIGOLD
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1085
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1600 - Food Program
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PR0539534
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COMPLIANCE INFO
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Entry Properties
Last modified
7/2/2020 4:38:14 PM
Creation date
1/7/2020 3:47:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0539534
PE
1608
FACILITY_ID
FA0022615
FACILITY_NAME
AUNT PEGIS SWEET TREATS
STREET_NUMBER
1085
STREET_NAME
MARIGOLD
STREET_TYPE
PL
City
MANTECA
Zip
95336
APN
20857029
CURRENT_STATUS
01
SITE_LOCATION
1085 MARIGOLD PL
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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f <br /> SAN =J O A Q U I N Environmental Health Department <br /> ---COUNTY- <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 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 /> I, TQ , \10,$)-?\.Z, -4 , agree to grant access to the local health department to <br /> conduct n inspection of my cottage food operation (mark one) <br /> "Class A": In the event of a consurner ❑ "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, V�Z %Co- c it Sw e agree to notify the San Joaquin County Environmental <br /> Health bepartment 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 /> q0l�CQ1��w � ysG\ S'�f er -Sw e ec� cl\\`11 <br /> —i Owner's Signature int Name Date <br /> 2 of 2 <br />
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