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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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PR0543519
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
8/5/2020 11:08:54 AM
Creation date
8/5/2020 11:06:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0543519
PE
1608
FACILITY_ID
FA0024707
FACILITY_NAME
MY PAMPA'S
STREET_NUMBER
4347
STREET_NAME
BRODIE
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
4347 BRODIE WAY
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN <br />JOAQUIN <br />—COUNTY— <br />9 <br />Environmental Health Department <br />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,IIII "CS lass 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 />I, " agree to grant access to the local health department to <br />conduct a inspecVoon 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 />1. Anne 0- ,eaxo agree to notify the San Joaquin County Environmental <br />Health Department 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 />11V.1E A. aq✓rale0 /d fz <br />I 2of2 <br />ICs Scanned witl U.Scanner <br />
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