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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0545817
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
5/16/2024 11:33:23 AM
Creation date
5/16/2024 11:32:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0545817
PE
1608
FACILITY_ID
FA0025926
FACILITY_NAME
UNDERGROUND CONFECTIONS
STREET_NUMBER
15377
STREET_NAME
JEWEL
STREET_TYPE
ST
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
15377 JEWEL ST
P_LOCATION
98
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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8. Owner's Statement: <br />\)0,9o,n , agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />"Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />X "Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />SAN JOAQUIN <br /> Environmental Health Department <br />—COUNTY <br />7. Delivery Limitation: Initial if you agree to abide by the following: <br />I understand that I may accept orders and payments via the internet, mail or phone. However, all "Class A" and <br />"Class B" CFO products must be delivered directly (in person) to the customer. The CFO products may 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 />sAJJ'-)s , 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 />consigned, or given away. <br /> <br />IJ41 <br />Date <br /> <br />Print Name <br /> <br />Owner's Signature <br /> <br />2 of 2
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