Laserfiche WebLink
Made in a home kitchen Permit # <br />Issued in San Joaquin County <br />Ce 3()( <br />Ingredients Sugar cider vinegar, peppers, cayenne pepper, pepper <br />flakes, certo, food coloring Net weight 8 Oz <br />Tana) Frattitit, <br />310 Laguna Dr Tracy, CA 9576 <br />Jaiapelu) Pepper <br />2022 <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY-- <br />Example: <br />Made Made in a home kitchen Permit # <br />Issued in San Joaquin County <br />Gaul Freoutit,',1 <br />310 Laguna Dr Tracy, CA 9576 <br />BeAteAt Carcusitt <br />2022 <br />Ingredients: Butter, brown sugar, corn syrup, sweetened cond <br />milk, vanilla Net weight 8 Oz <br />Note: For the "Issued in County" - Identify the jurisdiction (city/county) where you are obtaining approval. <br />6. Disposal of Waste: <br />Please check what type of treatment is used to dispose of waste <br />R-Public Sewer Service LI Private Septic System <br />In the event of septic system failure or plumbing problem, you are required to notify San Joaquin County Environmental Health Department <br />immediately. <br />7. Water Source: <br />Pease Identify the water source to be used in Cottage Food Facility (check one box) c.„7„.a, <br />171Name of Public Water System or Community Services District: <br />111 Private Water Supply**, Identify the source (well, spring, surface, etc.): <br />Private Water Supply: Initial Water Quality Results <br />Check boxes below if initial water testing has been completed. <br />All testing must be done at a State Certified Laboratory. Either attach lab results or provide name of lab, date & <br />results in space provided next to type of test. <br />*(Testing frequency for transient Non-Community Water Systems after initial testing) <br />Bacteriological Test (quarterly*): <br />111 Nitrate Test (yearly*): <br />LI Nitrite Test (every 3 years*): <br />**Additional information may be required if food is prepared from a home with a private water supply — check with local jurisdiction. <br />8. Food Processor Course: <br />Initial if you agree to abide by the following: <br />Within 3 months of being approved to operate by the Environmental Health Department, please provide proof <br />of completion of the California Food Handler course in lieu of the California Department of Public Health (CDPH) <br />food processor course. <br />For more information see CDPH website www.cdph.ca.qov/programs/Paqes/fdbCottageFood.aspx