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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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LILAC
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1600 - Food Program
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PR0545767
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
5/28/2020 11:49:47 AM
Creation date
5/28/2020 11:48:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0545767
PE
1608
FACILITY_ID
FA0025910
FACILITY_NAME
G'S CAKES BY DIANA LLC
STREET_NUMBER
1343
STREET_NAME
LILAC
STREET_TYPE
ST
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1343 LILAC ST
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SA N 10 A Q U I N Environmental Health Department <br /> COkJ T Y-.- <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 /> agree to grant access to the local health department to <br /> coMuVt an inspectib of my cottage food operation(mark one) <br /> "Class A": In the event of a consumer ❑ "Class B": For regular annual facility inspections <br /> omplaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> I, agree to notify the San Joaquin County Environmental <br /> HealtA Departme t 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 /> UbMAMA, 1 Icly A , 5-z- ?-v2D <br /> Owner ignature Print Name Date <br /> 2of2 <br />
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