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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GOLDEN POND
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1600 - Food Program
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PR0547456
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
2/15/2024 9:48:25 AM
Creation date
1/24/2024 9:14:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0547456
PE
1609
FACILITY_ID
FA0026982
FACILITY_NAME
FERMENT & GRIND
STREET_NUMBER
894
STREET_NAME
GOLDEN POND
STREET_TYPE
DR
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
894 GOLDEN POND DR
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SA N�J O A Q U I N Environmental Health Department <br /> F1 <br /> COUNTY- <br /> 7. <br /> O U !Ni TYU <br /> 7. Delivery Limitation: Initial if you agree to abide by the following <br /> �z�___ <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, II "Cla A"and <br /> "Class B"CFO products must be delivered directly(in person)to the customer. The CFO produ, ay 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, `f -- Aif/ agree to grant access to the local health department to <br /> conduct an inspection of my cottag 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 /> agree to notify the San Joaquin County Environmental <br /> Health DepartrAent prior to mo ifying my food list, type of operation, and/or method of selling, distributing, or <br /> ,--- otherwise providing my CFO oducts to the consumer or retailers, regardless of whether the product is sold, <br /> c signed or giv n away. <br /> )�i_) Z_L� <br /> Owne s Signa ure Print Date <br /> j / <br /> 2of2 <br />
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