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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0541956
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
6/7/2022 4:47:23 PM
Creation date
5/12/2022 8:34:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0541956
PE
1609
FACILITY_ID
FA0024075
FACILITY_NAME
PHAT N SAUCY
STREET_NUMBER
4498
STREET_NAME
BONSAI
STREET_TYPE
AVE
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
4498 BONSAI AVE
P_LOCATION
03
QC Status
Approved
Scanner
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:1y y <br /> 1 understand that I may accept orders and payments via the internet, mail or phone. However, all "Class A"and <br /> "Class 13"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_ & �&j , agree to grant access to the local health department to <br /> conduct ar nspecti n of my cottage food operation (mark one) <br /> ❑ "Class A": In the event of a consumer Jg-"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 /> agree to notify the San Joaquin County Environmental <br /> Health D rtment ICIrior to modifying my food list, type of operation,and/or method of selling, distributing, or <br /> otherwise roviding my CFO products to the consumer or retailers, regardless of whether the product is sold, <br /> consigned, or given away. <br /> /ll FYI �/ / JeiJ r/ S �`4� <br /> Own 'O;vnV Signaturd Print N@1ne Date <br /> — ' MADE IN � 5 <br /> A HOME ' <br /> KITCHEN ! REALLY GOOD <br /> ------ DRY RUB <br /> iPERMIT#PT0025694 •i i ii <br /> PHAT N <br /> — ® 5«�YaII Yl� <br /> NT WT 7G2(BSGI <br /> MADE IN � s ' <br /> A HOME goad wilb <br /> KITCHENREALLY GOODCHICKEN,FISH,PORK, <br /> _ „saooI,=I���E,An.IC1ss,n� DRY LAMB,PASTA, <br /> RUB <br /> PERM <br /> IT#PT0025694 POTATOES,AVOCADO! <br /> You name if <br /> * * * * <br /> PHAT <br /> GE00Y NTWT 302(856) Ul <br /> 2of2 <br />
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