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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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PR0549015
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
9/13/2024 2:45:54 PM
Creation date
9/13/2024 2:45:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0549015
PE
1608
FACILITY_ID
FA0028124
FACILITY_NAME
DEFIANT BAKING COMPANY
STREET_NUMBER
500
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
500 N HAM LN
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orq/ehd <br />COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />The following requirements are outlined in the Cottage Food Operations (CFO) regulations and are provided as minimum standards <br />of health and safety for the preparation of approved cottage foods in the home. <br />CFO Business Name <br />N•jc CovIn <br />CF Address. <br />SOO <br />CFO Owner Narn:w-r- <br />e::)C,A) I <br />CFO ZIP: <br />CI 61 (-I <br />CFO City: <br />t <br />Yes No <br />a El <br />El 0 <br />M <br />IN <br />Yes No <br />Ei <br />Yes No <br />ra <br />0 0 <br />El CI <br />Yes No <br />Facility Requirements: <br />1 The CFO is located in a private dwelling where the CFO operator currently resides <br />2. All CFO food preparation will take place in the private kitchen within that home. <br />3. Additional storage used for the CFO will be within the home. <br />If YES, is the room used exclusively for storage? <br />Specify the room(s) that will be used for storage? \\\ <br />4. Sleeping quarters are excluded from areas used for CFO food preparation or storage. <br />Zoning Requirements: <br />5. I have complied with the applicable zoning requirements for the CFO. <br />Employee and Training Requirements: <br /> <br />6. Have all persons preparing or packaging CFO products completed the CDPH food <br />processor course? <br />If YES, copies of certificates are attached. <br />If NO, complete course within 3 months of CFO registration. <br /> <br />7. The CFO has no more than 1 full-time equivalent employee? (Immediate family or <br />household members are not included.) <br />Sanitation Requirements: <br />Kitchen equipment and utensils used to produce CFO products are clean and <br />maintained in a good state of repair. <br />All food contact surfaces, equipment, and utensils used for the preparation, packaging, <br />or handling of any CFO products shall be washed, rinsed, and sanitized before each <br />use. <br />All food preparation and food and equipment storage areas shall be maintained free of <br />rodents and insects. <br />EHD 16-26 12/27/2012 CFO CLASS A CHECKLIST
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