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EHD Program Facility Records by Street Name
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DROGE
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12811
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3400 – Cannabis Program (Commercial)
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PR0546332
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COMPLIANCE INFO
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Entry Properties
Last modified
10/25/2021 10:31:01 AM
Creation date
10/25/2021 10:11:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3400 – Cannabis Program (Commercial)
File Section
COMPLIANCE INFO
RECORD_ID
PR0546332
PE
3423
FACILITY_ID
FA0026251
FACILITY_NAME
CULTIVA LLC
STREET_NUMBER
12811
STREET_NAME
DROGE
STREET_TYPE
RD
City
ESCALON
Zip
85320
CURRENT_STATUS
01
SITE_LOCATION
12811 DROGE RD BLDG C & D
P_LOCATION
06
QC Status
Approved
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EHD - Public
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o, SAN�J0AQUIN <br /> Environmental Health Department <br /> N <br /> COUNTYf Greatness grows here <br /> COMMERCIAL CANNABIS LICENSE APPLICATION <br /> PART C — CHECK LIST <br /> Use this checklist to prepare the required documents and information needed to apply for a commercial cannabis license. <br /> All Commercial Cannabis License Types: <br /> Complete and submit the Commercial Cannabis License Application Part A for the Business Information. <br /> Complete and submit the Commercial Cannabis License Application Part B for the Owner Information.Complete one form for each owner. <br /> Property Owner's Statement of Consent' <br /> Site Plan' <br /> Floor Pan' <br /> Waste Management Plan/Waste Destruction Plan` <br /> Odor Control Plan' <br /> Security Plan-(Signed off by the Sheriffs Office) <br /> Background Check Application Submittal* (Must have initial background check application sign-off by the Sheriffs Office returned to EHD within 10 days) <br /> Cultivation/Nursery License Types: <br /> Pesticide Plan`(Signed off by the Agriculture Commissioner's Office) <br /> Property Diagram(CDFA required attachment)TO SCALE <br /> Lighting Diagram(CDFA required attachment)TO SCALE <br /> Premises Diagram(CDFA required attachment)TO SCALE <br /> Processor License Types: <br /> Premises Diagram(CDFA required attachment)TO SCALE <br /> Property Diagram(CDFA required attachment)TO SCALE <br /> Distributor License Types: <br /> Premises Diagram(BCC required attachment)TO SCALE <br /> Transportation Procedures Form(BCC required attachment) <br /> Inventory Procedures Form(BCC required attachment) <br /> Non-Laboratory Quality Control Procedure Form(BCC required attachment) <br /> Manufacturing License Types: <br /> Packaging(CDPH required attachment) <br /> Premises Diagram(CDPH required attachment)TO SCALE <br /> Fire Mitigation Plan`(Signed off by the County Fire Official) <br /> Operational SOPS(including equipment spec sheets)(CDPH required attachment) <br /> Delivery Retailer License Types: <br /> Premises Diagram(BCC required attachment)TO SCALE <br /> Transportation Procedures Forth(BCC required attachment) <br /> Inventory Procedures Form(BCC required attachment) <br /> Non-Laboratory Quality Control Procedure Forth(BCC required attachment) <br /> Delivery Procedures(BCC required attachment) <br /> Testing Laboratory License Types: <br /> Premises Diagram(BCC required attachment)TO SCALE <br /> Transportation Procedures Form(BCC required attachment) <br /> Inventory Procedures Form(BCC required attachment) <br /> ISO/IEC 17025 Accreditation(BCC required attachment) <br /> Microbusiness License Types: Minimum of 3 Different License Types <br /> (REFER TO ABOVE FOR APPLICABLE TYPES <br /> 'Refer to the Attachment Summary for more information on these requirements. <br /> CDFA-California Department of Food and Agriculture CDPH-California Department of Public Health BCC-Bureau of Cannabis Control <br /> 10-28-2019 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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