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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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SANTA INEZ
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655
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1600 - Food Program
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PR0545817
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
6/5/2020 9:07:50 AM
Creation date
6/5/2020 9:05:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0545817
PE
1608
FACILITY_ID
FA0025926
FACILITY_NAME
UNDERGROUND
STREET_NUMBER
655
Direction
N
STREET_NAME
SANTA INEZ
STREET_TYPE
DR
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
655 N SANTA INEZ DR
P_LOCATION
98
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN J O A Q U I N Environmental Health Department <br /> COIJNTY <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: _�X_A <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 /> I, <br /> 2 Qll �-,J , agree to grant access to the local health department to <br /> conduct an insp tion of my cottage food operation (mark one) <br /> ' "Class A": In the event of a consumer El "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, agree to notify the San Joaquin County Environmental <br /> Health Departm nt 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 /> 1AAA1_ S I M NLNO <br /> Owner's Signature Print N Ime ate <br /> 2 of 2 <br />
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