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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BROADWELL
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18020
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1600 - Food Program
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PR0546449
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
5/5/2023 9:04:57 AM
Creation date
5/5/2023 9:03:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0546449
PE
1608
FACILITY_ID
FA0026328
FACILITY_NAME
SWEET LAYERS
STREET_NUMBER
18020
STREET_NAME
BROADWELL
STREET_TYPE
ST
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
18020 BROADWELL ST
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN Environmental Health Department <br />Delivery Limitation: Initial if you agree to abide by the following: <br /> <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 />Owner's Statement: <br />g uyItit lyNtAld, agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />I/ "Class A": In the event of a consumer LI "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, (j1 bilKt1 / kit( Rlit ( , agree to notify the San Joaquin County Environmental <br />Healt Department pr or 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 />.- <br />iftAbitWa CLI( RC"' I /rite 3- 12 7 <br />Owner's Sign ure Print Name
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