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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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PR0541253
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/17/2021 1:57:45 PM
Creation date
11/17/2021 1:55:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0541253
PE
1608
FACILITY_ID
FA0023635
FACILITY_NAME
IN SEASON
STREET_NUMBER
1605
Direction
N
STREET_NAME
COMMERCE
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
1605 N COMMERCE ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SA N A O A Q U I N Environmental Health Department <br />—COUNTY <br />7. Delivery Limitation: Initial if you agree to abide by the following: CF -- <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, Ej_(G fi R?o , 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 -borne illness and in the event of a consumer complaint or <br />food -borne illness <br />I, C&(, 'FI F-FQ , 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 aiverramay. <br />fA <br />eat, <br />Print Name <br />2of2 <br />
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