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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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PR0545838
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
6/3/2021 4:34:23 PM
Creation date
6/3/2021 4:08:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0545838
PE
1608
FACILITY_ID
FA0025940
FACILITY_NAME
SIMPLE DELIGHTS BY K
STREET_NUMBER
5967
STREET_NAME
ECHO
STREET_TYPE
ST
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5967 ECHO ST
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SANUJ O A Q U I N Environmental Health Department <br /> —COUNTY— 11 <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: l, <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, '1�Q, Q lrp�nA` n agree to grant access to the local health department to <br /> conduct an ' spection 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 /> i 1 ,,�A �/1� food-borne illness <br /> 1/ <br /> I, =: \ ) lJc1/l�� v agree to notify the San Joaquin County Environmental <br /> Health Depa ment 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 /> 1 a � � <br /> Own s Signature Print N me ate <br /> 2 oft <br />
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