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COMPLIANCE INFO_2022
EnvironmentalHealth
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YORKSHIRE LOOP
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1600 - Food Program
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PR0547894
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COMPLIANCE INFO_2022
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Last modified
12/6/2022 12:45:27 PM
Creation date
8/30/2022 9:32:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547894
PE
1609
FACILITY_ID
FA0027302
FACILITY_NAME
PAN-A-CUP KITCHEN USA
STREET_NUMBER
1394
STREET_NAME
YORKSHIRE LOOP
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1394 YORKSHIRE LOOP
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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Food Preparation Requirements (includes packaging and handling): Yes No <br /> 11. Hand washing is required immediately prior to handling foods and after engaging in <br /> Elany activity that contaminates the hands such as after using the toilet, coughing or <br /> sneezing, eating or smoking. <br /> 12. Warm water, hand soap and clean towels are available for hand washing. LIQ ❑ <br /> 13. All food ingredients used in the CFO products are from an approved source. ❑ <br /> 14. Potable water shall be used for hand washing, ware washing and as an ingredient. [✓]� ❑ <br /> 15. Is your water source a private well? ❑ <br /> a.If YES, have you completed testing for bacteria and nitrate? ❑ ❑ <br /> 16. Is your water source a public water system or community services district? Er ❑ <br /> a.If YES,what is the name of the system or district? Twel <br /> During the preparation, packaging or handling of CFO products: Yes No <br /> 17. Domestic activities such as family meal preparation, dishwashing, clothes washing or Elironing, kitchen cleaning or guest entertainment are excluded from the kitchen. <br /> LK 18. Infants, small children, or pets are excluded from the kitchen. B� ❑ <br /> 19. Smoking is excluded. EV ❑ <br /> 20. Any person with a contagious illness shall refrain from work in the CFO. 1 F-1- <br /> Labeling <br /> Labeling Requirements: Yes No <br /> 21. A copy of the label has been submitted to this Department for review and approval. ❑ ❑ <br /> 22. 1 have attached a sample label. ❑ ❑ <br /> By signing below you are certifying that you meet the requirements of the California Homemade Food Act, AB 1616 <br /> (Gatto), as it pertains to a "Class A" Cottage Food Operation. Prior to making any changes, I acknowledge that I must <br /> notify San Joaquin County Environmental Health Department of any intended changes to the above statement. <br /> Cottage Food Operator Checklist completed and submitted by: <br /> Signature Print Name Ware <br /> EHD 16-2612/27/2012 2 CFO CLASS A CHECKLIST <br />
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