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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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PR0546848
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
5/20/2021 8:49:37 AM
Creation date
5/20/2021 8:48:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546848
PE
1608
FACILITY_ID
FA0026535
FACILITY_NAME
SAN JOAQUIN SOURDOUGH
STREET_NUMBER
9972
STREET_NAME
RIVER VIEW
STREET_TYPE
CIR
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
9972 RIVER VIEW CIR
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN JOAQUIN Environmental Health Department <br /> COTTAGE FOOD OPERATIONS(CFO) <br /> REGISTRATIONIPERMITTING FORM <br /> ICAUFORNIA NOMEMADE FOOD ACT AS 1616(GATTOI) <br /> cfo rnn.,�rrw sops Q'o�tr <br /> �7a7? 0.;,r.V��.G.air_ C}oak}oe 9520g <br /> Te wn. 415 5 3 0- G 11 <br /> 1. atoafxln: <br /> :9 •cuu A•(r>rao sake w.•f1 s,ss ❑ •cw.a[D.ea a lrvxee fi.b.1 sato <br /> 2. Prohibited 119ma: Initial if you aprw to aNde by the following: <br /> Fod I amroirrg e ,eualanl,a marsh MrgF we pounds y haFwdoda and we 101 ALLOWED. Only <br /> foodo"w defned ss'm"{afwihNy hyzm sw epaawd b WdWM n by•CORY Fast Opwaaon. <br /> nee.loads Mod.V .&a,do"ot rvW re refrp.ieGn to keep d san hdne hatim glow" due could be a <br /> r ftof+Ooaoeme Neese <br /> a. 'Class A"Wf CMlf atlon Checklist: <br /> (}� C�M[A4.h wmpronW('Gree.A'if 0e JNY) <br /> I. Products: <br /> Fhvso a.'Kra tMr.Years yw mi by yopary e�sab neae.p. <br /> M flaked Goods Li Drke pans ❑ Marry ❑ <br /> pApoctnBab <br /> l ceec, ❑ DfylikrogMm.. ❑ WAMN 13 Wets <br /> ❑ Ch.me ❑ Wwhe cane. ❑ Dfwdofwnwawa ❑ FRADdgar" <br /> ❑ FM <br /> ❑ ° ❑ F king o pDsitlare <br /> ❑ Dn.d•sole Pero ❑ Hert Spee Stn ds ❑ PwAft ❑ iwataW" <br /> Frye L� r.lot s" <br /> F1 pwdw ❑ rMa Tw owsRlM ❑ 13 DlNeb mw'.' <br /> 4�Ir{ u <br /> ❑ 6aatawgtw d TrMill pwrfw ❑ ,*�ol�l <br /> CI camncaw, ❑ elmowdAWN <br /> Doled 0, <br /> D. yd sr El odaavao.l.lw1 a <br /> VrgeYabLe erwst®sn�lpgR � <br /> Me fkrmam Awewe l.8 _ <br />
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