Laserfiche WebLink
Example: <br />BIG CAKE BAKER <br />Stockton CA 952C9 <br />Perm t# C23.5 <br />saied San Jcaqu'n Count <br />Chocolate Chip Cookies with Walnuts <br />Irgredierts Enriched flcur Ivo heat flcv.r, riacir, reduced ir,-.r, thiamire, morcritrate, ribcflayin <br />ar d fclic acid, butter milk,salt;., d-.cc late chips Isi.gar, coccl3teUqucr, cc cc a butter, b-tterfat <br />I m iNal ruts, sugar, eggs, salt artifi cia I sr il la extract, bakirg sc da <br />Contains: Wheat, milk, eggs, soy, walnuts <br />Made in a home kitchen <br />Net Wt. 3 oz. (85,05g) <br />Note: For the Issued in County" - Identify the jurisdiction (city/county) where you are obtaining approval. <br />Disposal of Waste: <br />Please check what type of treatment is used to dispose of waste <br />Public Sewer Service LII Private Septic System <br />In the event of septic system failure or plumbing problem, you are required to notify San Joaquin County Environmental Health <br />Department immediately. <br />Water Source: <br />Pease Identify the water source to be used in Cottage Food Facility (check one box) <br />)8::] Name of Public Water System or Community Services District: P. <br />(A 11. 67)(167 -014 <br />LI Private Water Supply**, Identify the source (well, spring, surface, etc.): (j <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 />"Jesting frequency for transient Non-Community Water Systems after initial testing) <br />Li Bacteriological Test (quarterly*): <br />Li Nitrate Test (yearly*): <br />EHD 16-27 6/29/2023 4 CFO REG/PERMITTING FORM