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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KIRSTEN
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1600 - Food Program
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PR0540253
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
10/20/2023 12:36:38 AM
Creation date
8/22/2023 1:25:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0540253
PE
1608
FACILITY_ID
FA0023014
FACILITY_NAME
SWEET AFFAIRS
STREET_NUMBER
4038
STREET_NAME
KIRSTEN
STREET_TYPE
DR
City
STOCKTON
Zip
95212
CURRENT_STATUS
01
SITE_LOCATION
4038 KIRSTEN DR
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAKJOAQUIN <br /> Environmental Health Department <br /> .C 0 U N T Y __._.._._... <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, a%lass <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 /> 8. Owner's Statement: <br /> I, V1V1EA) I/C W agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> "Class A": In the event of a consumer ❑ "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, �����Ci �✓u]_� 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 /> zl_lltli� 1�Cf�� ��CT G-.2 ;222 <br /> Owner's Signature Print Name Date <br /> 2 of 2 <br />
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