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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0545767
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
9/8/2021 4:24:40 PM
Creation date
9/8/2021 4:23:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0545767
PE
1608
FACILITY_ID
FA0025910
FACILITY_NAME
G'S CAKES BY DIANA LLC
STREET_NUMBER
1343
STREET_NAME
LILAC
STREET_TYPE
ST
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1343 LILAC ST
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAWOAQU IN Environmental Health Department <br /> —COUNTY- <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: <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 /> B. Owner's Statement: <br /> I, � 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 inspections <br /> complaint or reported food-bome illness and in the event of a consumer complaint or <br /> , food-borne illness <br /> I, tluV ' agree to notify the San Joaquin County Environmental <br /> Health Department 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 � ialyl � l� ya��c�n , I L%-6� 2I <br /> wnees Signature Print Name Date <br /> 2 of <br />
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