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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BRILLOSO
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1600 - Food Program
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PR0548352
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
10/25/2024 2:50:30 PM
Creation date
5/16/2024 2:35:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0548352
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0027609
FACILITY_NAME
CARTER SIX
STREET_NUMBER
99
Direction
W
STREET_NAME
BRILLOSO
STREET_TYPE
LN
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
99 W BRILLOSO LN MOUNTAIN HOUSE 95391
Tags
EHD - Public
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SANJOAQUIN <br /> <br />Environmental Health Department <br />—COUNTY <br />7. Delivery Limitation: Initial if you agree to abide by the following: AP <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 />Owner's Statement: <br />Al ma Pi neda <br /> agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />Ail "Class A": In the event of a consumer III "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 />I, Al ma pi neda ,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 />A----- Al ma Pi neda <br /> 4/30/2024 <br />Owner's Signature Print Name Date <br />2of2
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