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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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PR0544073
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
4/28/2022 9:53:19 AM
Creation date
4/28/2022 9:47:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0544073
PE
1608
FACILITY_ID
FA0025069
FACILITY_NAME
SHELLY'S SUGAR SHAK
STREET_NUMBER
539
Direction
E
STREET_NAME
BARRYMORE
STREET_TYPE
ST
City
STOCKTON
Zip
95204-2208
CURRENT_STATUS
01
SITE_LOCATION
539 E BARRYMORE ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
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EHD - Public
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SANJ O A Q O I N Environmental Health Department <br /> COUNTY <br /> 9. Em to ee: Initial if you agree to abide by the following: _ <br /> I understand that I may not have more than one full-time equivalent cottage food employee,not including a = <br /> family member or household member of the cottage food operator,working within the registered or permitted <br /> area of a private home where the cottage food operator resides and where cottage food products are prepared = <br /> or packaged for direct, indirect,or direct and indirect sale to consumers. — <br /> 10. Delivery Limitations Initial if you agree to abide by the following: _ <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 /> } 11. Owner's Statement: <br /> I' N��� agree to grant access to the local health department to <br /> conduct an' pection of my co,tt4 food operation(mark one) <br /> W`Class A": In the event of a consumer ❑ "Class B"; For regular annual facility <br /> complaint or reported food-borne illness inspections and in the event of a consumer <br /> complaint or food-borne <br /> I, 14 12. Si 11 bcyt agree to notify the San Joaquin County <br /> Environm tal Health Depart nt prior to modifying my food list,type of operation,and/or method of <br /> selling, distributing, or otherwise providing my CFO products to the consumer or retailers, regardless of <br /> — whether the pro uct' old nsigned,or given away. <br /> VV <br /> Owner's !gnat Print me Date <br /> EHO 16-27 612907 CFD REGlPERMI'"ING FORM <br />
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