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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ALBERTINA
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455
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1600 - Food Program
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PR0542040
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
9/11/2024 9:48:12 AM
Creation date
9/11/2024 9:47:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0542040
PE
1608
FACILITY_ID
FA0024135
FACILITY_NAME
GLITZY DESSERTS
STREET_NUMBER
455
Direction
E
STREET_NAME
ALBERTINA
STREET_TYPE
AVE
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
455 E ALBERTINA AVE
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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1 ,HakJ7 . agree to notify the San Joaquin County Environmental <br />Health Department prior to modiyng my food list, type of operation, andlor method of selling. distributino, or <br />otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold. <br />consioned, or given away. <br />ikrzimdfxvirriow, 401 t w ,,,,,v, ..w <br />.trir-Aiibligui.li-Ar,4 <br />1 ve_k foid / • k i tt Aksice,"_i, acip .4,.. _ , <br />I ll <br />g <br />; <br />Initial if you agree to abide by the following: <br />I understand that <br />may accept orders and payments via the internet, ma!' or phone Ho hievie. all "Class <br />A" and <br />'Class B" CFO products must he delivered ji_e_riL_ <br />fly (in person) to the customer. The CFO produc".5 may has <br />ot be <br />delivered via the United States Postal Service, UPS. FedEz. or using any other indirect delivery rhetriod <br />deliveries are regulated by, and subject to, CDPH registratiori and state and federal requirements <br />8. Owner's Statement: <br />agree to grant access to the local health department to <br />conduct an inspection of my cottage food operation (mark one) <br />D "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-borne illness <br />Lc:2, r.1 <br />Date <br />Environment;:); Health. Departme-ro <br />7. Deliver <br />SAN JOAQUIN <br />/ ! <br /> <br /> "Class A": In the event of a consumer <br />complaint or reported food-borne illness <br />Limitation: <br />- 40 VOA. <br />r'ae t44.4 <br />cirt&P"--- <br />L.)c- <br />Fr 4 <br />01 <br />Fs*
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