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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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PR0544063
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
4/15/2020 10:19:44 AM
Creation date
4/15/2020 10:18:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0544063
PE
1608
FACILITY_ID
FA0025061
FACILITY_NAME
JORDYNS SWEET TREATS
STREET_NUMBER
521
STREET_NAME
GRAPEVINE
STREET_TYPE
PL
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
521 GRAPEVINE PL
P_LOCATION
07
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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s s Environmental Health Department <br /> UNAOAQUIN <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, rnail 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, &njt Z)J'-Z, , agree to grant access to the local health department to <br /> conduct an in pection 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 /> I, �V 1 agree to notify the San Joaquin County Environmental <br /> Health Depa ment 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 /> _gyp <br /> er's Signaturerm ame Date <br /> 2of2 <br />
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