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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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7620
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1600 - Food Program
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PR0546849
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/9/2023 2:34:46 AM
Creation date
8/29/2023 3:05:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0546849
PE
1608
FACILITY_ID
FA0026536
FACILITY_NAME
D RENEES POUND CAKES
STREET_NUMBER
7620
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
7620 N EL DORADO ST #80
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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6. Food Processor Course: <br /> Attach food handler certification for owner and each individual that were not submitted with initial <br /> application (including family members and/or employees). <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: DB <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, all"Class <br /> A" and "Class B" CFO products must be delivered directly (in person)to the customer.The CFO products <br /> may not be delivered via the United States Postal Service, UPS, FedEx, or using any other indirect <br /> delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br /> requirements. <br /> 8. Owner's Statement: <br /> 1, Donna Brown agree to grant access to the local health <br /> department to 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, Donna Brown agree to notify the San Joaquin County <br /> Environmental Health Department prior to modifying my food list, type of operation, and/or method <br /> of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br /> regardless of whether the product is sold, consigned, or given away. <br /> I7/27/2023 <br /> Owner's Signature Print Name Date <br /> Donna Brown <br /> EHD 16-29 6/29/2015 2 CFO REG/PERMITTING RENEWAL FORM <br />
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