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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ALPINE
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16838
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1600 - Food Program
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PR2500462
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
7/17/2025 3:24:18 PM
Creation date
7/17/2025 3:23:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR2500462
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0004268
FACILITY_NAME
MIMS SOURDOUGH
STREET_NUMBER
16838
STREET_NAME
ALPINE
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
Active
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
16838 ALPINE RD LODI 95240
Tags
EHD - Public
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The fcilo.^rjg arv sufnnod in tne Cotingv Food Qpcnti'or's (CFO) ''fi^w'ano.QS ond provvtot) os .’nv»tmuT7 standards <br />tx* r?iifl>ch end b&%(x fcr too propar^iwi ctf nyptowi cottage foods in i*>fi .'?orne <br />No <br />1 <br />NO <br />Y&s NO <br />& <br />b <br />14 <br />Yes NoSanitation Requirements: <br />8 <br />M <br />M <br />O'OCLASSACHECKLIO-1EKD 1&-2& 12.27.2012 <br />COTTAGE FOOD OPERATIONS (CFOs-CLASS A) <br />SELF CERTIFICATION CHECKLIST <br />San Joaquin County <br />Environmental Health Department <br />1B6B East Hazelton Avenue, StocKton. CA 95205-6232 <br />Telephone: (209) 465-3420 Fax: (209) 464-0138 Wehr wv.v siqov <br />Pfwi! |^ <br />Ui <br />Zoning Requirements: <br />5. I have complied with the applicable zoning requirements for the CFO. <br />10 All food preparation and road and equipment storage areas shall bo maintained free of <br />rodents and insects. <br />Kitcnen equipment and utensils used tc produce CFO products are clean and <br />maintained in a good state of repair <br />9. Ail 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 />I Crb Nsme <br />CPC /•dcriiis.r"“’m\ iww) <br />X <br />Yes <br />% <br />Employee and Training Requirements: <br />6. Have all persons preparing or packaging CFO products completed the COPH feed <br />processor course? <br />a. If YES. copies of certificates are attached <br />If NO. compile course within 3 months of CFO registration. <br />7. The CFO has no more than 1 full-time equivalent employee? (Immediate family or <br />household members are not included) <br />Facility Requirements: <br />The CFO ® 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 win be within the home. <br />a. If YES, is the room used exclusively tai storage? <br />b. 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.
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