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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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1600 - Food Program
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PR0546849
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
5/11/2021 2:39:32 PM
Creation date
5/11/2021 2:38:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546849
PE
1608
FACILITY_ID
FA0026536
FACILITY_NAME
D RENEES POUND CAKES
STREET_NUMBER
7620
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
7620 N EL DORADO ST #80
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SA N sJ O A Q U I N Environmental Health Department <br /> COUNTY- <br /> 9. <br /> OUNTY-9. Employee: Initial if you agree to abide by the following: <br /> I understand that I may not have more than one full-time equivalent cottage food employee, not including a <br /> family member or household member of the cottage food operator,working within the registered or permitted <br /> area of a private home where the cottage food operator resides and where cottage food products are prepared <br /> or packaged for direct, indirect,or direct and indirect sale to consumers. <br /> 10. Delivery Limitation: Initial if you agree to abide by the following <br /> 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 /> 11. Owner's Statement: <br /> I, L �R..���cw Q _ V1,�agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> []"Class A": In the event of a consumer ❑ "Class B": For regular annual facility <br /> complaint or reported food-borne illness inspections and in the event of a consumer <br /> l complaint or food-borne <br /> I, I dryty 1'1R���nirde to notify the San Joaquin County <br /> Envir ental Health Department prior to modifying my food list,type of operation, and/or method of <br /> sellin , di tributing, or otherwise providing my CFO products to the consumer or retailers, regardless of <br /> whet er t e product is sold, consigned, or given away. <br /> V_22 <br /> Owner's Signature Print Name Date <br /> s of <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br /> J <br />
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