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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0545166
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
3/17/2022 11:27:17 AM
Creation date
3/10/2021 8:44:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0545166
PE
1608
FACILITY_ID
FA0025690
FACILITY_NAME
THE COOKIE NURSE
STREET_NUMBER
5155
STREET_NAME
DOVERTON
STREET_TYPE
DR
City
STOCKTON
Zip
95219
CURRENT_STATUS
01
SITE_LOCATION
5155 DOVERTON DR
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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S A N 10 A Q U I N Environmental Health Department <br /> OUNTY <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 /> I. ,YFi SVl- N 1 .�C 5 , agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation(mark one) <br /> X"Class A": In the event of a consumer ❑ "Class B": For regular annual facility inspections <br /> complaint or reported food-bome illness and in the event of a consumer complaint or <br /> food-borne illness <br /> 1, S C. 1� �� 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 /> gnature t`lI Qi �s��f� <br /> Print Name Date <br /> I <br /> 2 of <br />
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