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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546887
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
6/3/2021 1:31:15 PM
Creation date
5/14/2021 2:01:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546887
PE
1609
FACILITY_ID
FA0026565
FACILITY_NAME
SUNSET BREAD AND PASTRY
STREET_NUMBER
306
Direction
S
STREET_NAME
SUNSET
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
306 S SUNSET
P_LOCATION
02
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: ("P <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 <br /> plStatement: <br /> 1, 5 tnG KV— Y� ��1 agree to grant access to the local health department to <br /> conduct sh inspection 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-bome illness <br /> I, U\ 'A-U— ka-M agree to notify the San Joaquin County Environmental <br /> Health Bdpartment prior to modifyi 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 /> KemJ, <br /> OvVneei Signature / Print NdMe \Date <br /> L <br /> 4• t.�, yo od9 to,� <br /> d�6 6'���OG^ <br /> r <br /> O/ d� <br /> dL� <br /> 2 oft <br />
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