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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0547863
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/12/2022 4:31:57 PM
Creation date
10/12/2022 4:30:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547863
PE
1608
FACILITY_ID
FA0027280
FACILITY_NAME
BLUE ROSE BAKERY & TEA
STREET_NUMBER
1007
STREET_NAME
MARINERS COVE
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
1007 MARINERS COVE
P_LOCATION
07
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SAW J <br />AN k'J O n O U IN <br />Environmental Health Department <br />--COUNTY— - <br />9. Employee: Initial if you agree to abide by the following: ix ±1 <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 Limitation: <br />Initial if you agree to abide by the following: < ti <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, Kc..r , n (r) Nnr Harr , agree to grant access to the local health department to <br />conduct ani spection of my cottage food operation (mark one) <br />�c "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, k, 1- k„ a M . Hyp Oz-. , 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 />'7llq)z-a <br />Date <br />
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