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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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PR0546567
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
5/12/2022 1:06:37 PM
Creation date
4/14/2022 8:37:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0546567
PE
1609
FACILITY_ID
FA0026413
FACILITY_NAME
CAKE BY KELLI
STREET_NUMBER
2835
STREET_NAME
HAWKINS
STREET_TYPE
CT
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
2835 HAWKINS CT
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SANJ O A Q U I N Environmental Health Department <br />—COUNTY- <br />7. Delivery Limitation: Initial if you agree to abide by the following: Y_ <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, (I "o Y 4 t , 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-bome illness <br />I. V–Wt wm 4 l , agree to notify the San Joaquin County Environmental <br />Health Department prio 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, ori IiWn away. <br />Name <br />WWI <br />Date <br />
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