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r -"UW <br />Ir t'c �i SANs10AOUIN Environmental Health Department <br />t , COUNTY— <br />rr�r � <br />��r/ Greatness grows here. <br />I IIrU�1I'00NWr F1 II I�l:3FFhlFt:h%PJBFQ,RV <br />Mrnr�,a 9-) e avArw co �7.277•Z2 <br />, city CFJ Zip <br />22.Ub-1 ��„,� ori 14�•e S�x��— °! 5 2 a 3. <br />Wvbsito ('.r app icablo) Tolophonc <br />- 25�f �3 • \\ l� <br />"Glass ,4” (Mract Sales Only) $186 ❑ "0�lass 6" (Drract & In6r$ct Sales) $312 <br />(rI, fel f ,f 1 d P��� Fns: hrfilia1.0 F �pr,�. <br />Foods contalriing Vnehirv, n�Stft ; or Iv�nittt fIIIinq a arepMa,, I w hPamitn�®flx and are WCD T /ALL-1Wa. Cnly <br />foods that are defna',1 as "non-notsntalIy na7ardous" ars approved for ,preparation by a Cottage Food Oosrat•on <br />71hess foods Include Items teat do not require rafrgaraton to ksao t'ha°rr safe fromr dactsrlal grovArn that could be a <br />Gauss of food tome Illness. <br />Prov'da a lzt of all ,products you ara praparng. If praparng ams, lsf l as, or frudk butte s inc uda a Ilst of <br />ngrad;ants (attaan saoarate ,gaga f naeded). <br />C <br />Fond I-'st, Cb�� 23 S D1 k <br />°I. rr I'ici y�ld'. a;i li_ri:��l l`IC S. <br />Altacir twmn 4101 i to t: yrs forrrr for two of your CFC) products QonIy one labs! Is Faqurmed f only one product. m <br />-Trade). <br />,pleas -?;--,heck w9rat type at wat®r source is beings used at the CFO <br />Qatar IF FPrvata wall' <br />"'If a orwate wall, attach all updated water sarrrpla results ;Including quarterly Ioactsr4 and Wrate results.) <br />���, li`C��r,`.I Irl°�7����:F•i�lr <br />Attrn food handler cacti-catc t for'W'l-n• ;end J jal tn;:,t, wrens not LIL^ nr til "J t', I t al av DI gat > <br />rl uding farT0y ntembsrs andso r <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />