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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548564
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/13/2023 8:37:45 AM
Creation date
9/13/2023 8:37:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548564
PE
1608
FACILITY_ID
FA0027764
FACILITY_NAME
STARS CREATION
STREET_NUMBER
826
STREET_NAME
ASTOR
STREET_TYPE
DR
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
826 ASTOR DR
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY- <br />9. Employee: Initial if you agree to abide by the following: (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 />Owner's Statement: <br />Lathonya Barber , 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 <br />complaint or reported food-borne illness <br />Lii "Class B": For regular annual facility <br />inspections and in the event of a consumer <br />complaint or food-borne <br />Lathonya Barber , 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 />consigne or given away. <br />Owne s Signature <br />Lathonya Barber 06/28/2023 <br />Print Name Date
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