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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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PR0543483
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
4/3/2020 1:44:32 PM
Creation date
4/3/2020 1:42:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0543483
PE
1608
FACILITY_ID
FA0024682
FACILITY_NAME
THIRSTY BEAR
STREET_NUMBER
1424
Direction
W
STREET_NAME
LOCUST
STREET_TYPE
ST
City
LODI
Zip
95242
CURRENT_STATUS
04
SITE_LOCATION
1424 W LOCUST ST
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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A 'O s�,-�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, ali" lass " <br /> "Class B" CFO products must be delivered direct) (� person)erson) to the customer. The CFO products may of bed <br /> —Y <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 /> agree to grant access to the local health de artm <br /> conduct an insp tion of my cottage food eration (mark one) p ent to <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 /> ,r <br /> agree to notify the San Joaquin County Environmental <br /> odi <br /> Health ®ep rtm t prior to mfying 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 /> 4�11� <br /> wne Signature Print Name Date <br /> I <br /> 2of2 <br />
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