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STEINEGUL
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18189
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1600 - Food Program
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PR0546612
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COMPLIANCE INFO
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Entry Properties
Last modified
4/7/2021 2:39:32 PM
Creation date
4/7/2021 2:10:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0546612
PE
1608
FACILITY_ID
FA0026450
FACILITY_NAME
WAGNER'S KOOKIES
STREET_NUMBER
18189
STREET_NAME
STEINEGUL
STREET_TYPE
RD
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
18189 STEINEGUL RD
P_LOCATION
06
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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°A SAN JOAQUIN COUNTY <br /> r z ENVIRONMENTAL HEALTH DEPARTMENT <br /> W :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �.., Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br /> SELF CERTIFICATION CHECKLIST <br /> The following requirements are outlined in the Cottage Food Operations(CFO)regulations and are provided as minimum standards <br /> of health and safety for the preparation of approved cottage foods in the home. <br /> CFO Business N me: CFO Owner Nam <br /> w Vers Kooktl°s X74 �t°� <br /> CFO Address: J CFO City: CFO ZIP: <br /> R feiv�e � ( R� scQ � ova R53� <br /> Facility Requirements: Yes No <br /> 1. The CFO is located in a private dwelling where the CFO operator currently resides Vf ❑ <br /> 2. All CFO food preparation will take place in the private kitchen within that home. ❑ <br /> 3. Additional storage used for the CFO will be within the home. ❑ <br /> a. If YES, is the room used exclusively for storage? �, ❑ <br /> b. Specify the room(s)that will be used for storage? tCi'�1°h �7' <br /> 4. Sleeping quarters are excluded from areas used for CFO food preparation or storage. ❑ <br /> Zoning Requirements: Yes No <br /> 5. 1 have complied with the applicable zoning requirements for the CFO. 9 ❑ <br /> Employee and Training Requirements: Yes No <br /> 6. Have all persons preparing or packaging CFO products completed the CDPH foods E]processor course? <br /> a. If YES, copies of certificates are attached. X ❑ <br /> b. If NO, complete course within 3 months of CFO registration. ❑ ❑ <br /> 7. The CFO has no more than 1 full-time equivalent employee?(Immediate family or El <br /> members are not included.) <br /> Sanitation Requirements: Yes No <br /> 8. Kitchen equipment and utensils used to produce CFO products are clean andE]maintained in a good state of repair. <br /> 19 9. All food contact surfaces, equipment, and utensils used for the preparation, packaging, <br /> or handling of any CFO products shall be washed, rinsed, and sanitized before each ❑ <br /> use. <br /> 10. All food preparation and food and equipment storage areas shall be maintained free of ❑ <br /> rodents and insects. <br /> EHD 16-2612/27/2612 1 CFO CLASS A CHECKLIST <br />
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