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SAN )0AOUIN
<br />
<br />Environment! Health Diapartment
<br />7. Owner's Statement:
<br />UIPA 10 ( A . agree to grant access to the local health department tc.
<br />conduct an inspection of my ea-age food operation i'mark one
<br />
<br />Class A": In the event of a consumer
<br /> "Class B": For regular annual foolity inspecbons
<br />
<br />complaint or reported food-borne illness and in the event of a consumer complaint or
<br />food-borne illness
<br />.(4 ar LA AY 0 LI 1,11776,1;t=s:
<br />1.
<br />agree to notify the San Joaquin County Environmental
<br />Health Department pm( to mdrfrng my food 1,51. type of operaton and/or method of selling. dishibutng or
<br />otherwise providing my CFO products to the consumer or retailers reprdless of whether the product is SOld
<br />cori,signed or given away.
<br />ttrg-A.' 1.• I o — 11
<br />PnntrName 3 Oat°
<br />MADE IN A HOME KITCHEN
<br />Permit I: P1002.6314
<br />Issued County: SA+, Joaquin
<br />f unbabi Coke: Strawberry Vining. American Buttercrewn
<br />1.. nauai &awe Grum
<br />-a5 :num fur
<br />per, C.A YAW
<br />rAXJ) SZ Ce,a,
<br />Irmy.WAS: Seur IC.ACC,C...1sV....1 ).di b' ra0,r1
<br />g cg.:11,Lg. sg,ry• Fsar. DSC, VO ,
<br />'et :1•<1. C.O. for.; .nez.
<br />Contains: Meat, 3U3b c. Ewa
<br />Ne WL 3.Co: (35.II45gt
<br />MADE IN A HOME KITCHEN
<br />Inthia6a2t
<br />r.s...tiact in County: Son 2O...1C,W,
<br />Cakaaidee
<br />The Uggar. e1 cow.
<br />'VI (WM) Y1Cy
<br />kW,. CA rings
<br />inni9 023 Mg
<br />&bagel, rglr %RICCI 13,44.1
<br />, !Jo)", row Na; , $4,t, Argwrow PO•gO,g,,O.: Wna• id*.v% Sdr. tkoeir,
<br />CORtglicr{: Wheat. Milk. Eggs
<br />Het Wt. 14 0, (12_52 44 I
<br />MADE IN A HOME KITCHEN
<br />MADE IN A HOME KITCHEN
<br />PermitL ff10024:324
<br />Waited COunty. San Joe,gw.
<br />Sugar Cookie with Rata Icing
<br />itawaw 4., &au! Criu.t.
<br />Z.3 Nano r•ny
<br />CAS)
<br />r*', C79S
<br />Ircrodgenla. Fbor 1U,41./..a Woad Fava Mau: Fkx.f.,44.;:ek, ,rx Mann
<br />tryst,r. s•04, A4C1 Zp-4.111r DOW i.r.1) I 7ryt Proonggr g:Jrn
<br />fxwati.
<br />CA.,,,tgdm• 11Thwel. reps
<br />Net Wt. 2.30x t565.93o,
<br />Terra! SPTO0261126
<br />issued In County-. San Joagum
<br />Caramel Cruoch broenie
<br />Th AO:Oce Sox., 74.n: :--
<br />t 2.1 C1.1.010 AU,
<br />RM.', CA grOg.,
<br />V.2,J.0!1,
<br />Cirwmgr.,t 0ssr-t,M.1g, ask, ,Vitit: Ctwo.aax Cele, Sion. COX4
<br />ELMO'. 54-1,conf LOCIng, zre: %WA; Cerrokoz feo.,44, lI1, tI551 13,4.11.1,,,'
<br />MOItln bnot ThArr.. Cuic Audi Ca.* ‘'‘,0.50 twaieu A-wor
<br />C.ter..hyv V"sat, r991.
<br />Net 3or (33044g)
<br />Ci-O ru.u,vuuni av.3 rcr_i4C,wq_ rOfklit
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