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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1087
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1600 - Food Program
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PR0544210
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/12/2021 3:45:26 PM
Creation date
10/7/2021 2:24:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0544210
PE
1608
FACILITY_ID
FA0025127
FACILITY_NAME
LODI FARMHOUSE ESTATES
STREET_NUMBER
1087
Direction
W
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1087 W SARGENT RD
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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08/26/2021 09: 42 2093345007 GILL OBGYN PAGE 02/05 <br /> 1 understand that I may accept orders and payments via the internet,mail or phone.However,all"Class <br /> A"and"Class B"CFO products must be defivered&qAy(in person)to the customer.The CFO products <br /> may not be delivered via tare United States Postal Service,UPS, FedEx,or using any other indirect <br /> delivery method as deliveries are regulated by,and subject to,CDPH registration and state and federal <br /> requirements. <br /> a.QmMerls <br /> 'At1erne - <br /> duct an kare _.Ogres t gram access t the local health <br /> department to an mspecaon of my cottage food operation(mark one) <br /> Class A":In the event of a consumer "Class B"t For regular annual facility inspections and <br /> complaint or reported food-bome Illness in the event of a consumer complaint or foodborne <br /> Illness <br /> agree to notify the San.toaquln County <br /> environmental Health Department prior to modifying rm food list,type of operation,and/or method <br /> of Selling,distributing,or otherwise providing my CFO products to the consumer or retailers, <br /> regardless of whether the product Is sold,consigned,or given away. <br /> Owners S/gnature Print Nacos Dete �µ���. <br /> L4. al <br />
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