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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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BRODIE
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4347
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1600 - Food Program
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PR0543519
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COMPLIANCE INFO
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Entry Properties
Last modified
2/28/2020 4:12:01 PM
Creation date
2/28/2020 3:38:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543519
PE
1608
FACILITY_ID
FA0024707
FACILITY_NAME
MY PAMPA'S
STREET_NUMBER
4347
STREET_NAME
BRODIE
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
4347 BRODIE WAY
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SANJ O A Q U I N Environmental Health Department <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: 1 <br /> i <br /> I understand that I may accept orders and payments via the internet, mal or phone However, aft-Class A' and <br /> "Class B" CFO products must be delivered direcily (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 /> ILA 1. agree to grant access to the local health department to <br /> condOct an inspection of my cottage food operation (mark one) <br /> Z "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 /> 1, 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 /> othenv se providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br /> consigned, or given away GG <br /> iead�,D el?�/�I <br /> Owners Signature Print Name Date <br /> Scanned by CarnScanner <br />
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