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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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PR0546820
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
5/12/2022 2:48:32 PM
Creation date
5/12/2022 2:47:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0546820
PE
1608
FACILITY_ID
FA0026516
FACILITY_NAME
WAHL TO WAHL CONFECTION'S
STREET_NUMBER
1620
STREET_NAME
CORBIN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1620 CORBIN LN
P_LOCATION
02
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: AW <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 />S. Owner's Statement: <br />I. (/w6'yV " r " , agree to grant access to the local health department to <br />cdKoct an inspection of my cottage food operation (mark one) <br />[ZJ "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, kLM �" V V uh I , 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 given away. <br />-N4-L <br />Owner's <br />2 oft <br />0.x/0_7/V z2 <br />Date <br />
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