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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544133
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
4/3/2020 1:26:47 PM
Creation date
4/2/2020 9:02:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0544133
PE
1609
FACILITY_ID
FA0025096
FACILITY_NAME
EL NENE'S WONDER COOKIES
STREET_NUMBER
166
STREET_NAME
HALLER
STREET_TYPE
CT
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
166 HALLER CT
P_LOCATION
05
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SA N iJ 0 A Q U IN Environmental Health Department <br /> ------C O U N TY----- <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 custorner. 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,N„%-AVL JV,- � -S agree to grant access to the local health department to <br /> conduct an inspectionbf 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, MkA%0t%- ( V� agree to notify the San Joaquin County Environmental <br /> Health Department p for 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 /> \ wNWV1_C0dL1 -AVk <br /> Owner's ignature Print Name Date <br /> 20 2 <br />
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