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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544014
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
3/7/2022 11:10:58 AM
Creation date
3/7/2022 11:10:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0544014
PE
1608
FACILITY_ID
FA0025027
FACILITY_NAME
VS CUSTOM CONFECTIONS
STREET_NUMBER
8351
STREET_NAME
CRUDEN
STREET_TYPE
ST
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
8351 CRUDEN ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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I'S A N I PJ 0 A 0 U I N <br />—COUNTY - <br />7. Delivery Limitation: <br />Environmental Health Department <br />Initial if you agree to abide by the following: V S <br />understand that I may accept orders and payments via the internet, mail or phone. However, all "Class K 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, U an��l JAI A0. agree to grant access to the local health department to <br />conduct an inspection of myobttage food operation (mark one) <br />"Class A": In the event of a consumer ❑ "Class 8": 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, " = -2!6 1 R A, agree to notify the San Joaquin County Environmental <br />Health Department prior to ralodifying 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 />Owner's <br />VS custom confections <br />8351 Cruden St. Stockton, CA 95209 <br />Permit#PT0026408 <br />INLIEFE CHOCO1ATE QBANBERRY COnKIFS <br />Ingredlerks: Flour. butter, dark brown sugar, sugar, eggs. oats. vanilla bean paste, <br />whne chocolate chrys, broRine baking power, baking soda <br />Contains Wheat, eggs, soy, and dairy <br />NOT PRODUCED IN A NUT FREE KITCHEN <br />VS ctrebom conhstiorm <br />8351 Crudsn St. Stockton. CA 9521N <br />Permit NPT0026408 <br />SITTED CHUM ATE C140P COCKER <br />ngredems: Rcun. butter dark brown sugar. sugar, eggs, oats. vanilla bean pasta, <br />semi -sweet chocolate chips, kosher son. baking prnwde, baling soda <br />Cohbm Wheat. eggs, say. and dairy <br />NOT PRODUCED IN A NUT FREE KITCHEN <br />2of2 <br />
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