Laserfiche WebLink
Example: <br />Chocolate Chip Cookies with Walnuts <br />Contains: Wheat, milk, eggs, soy, walnuts <br />Note: For the ‘Issued in County’ - Identify the jurisdiction (city/county) where you are obtaining approval. <br />J <br />EHD 16-27 6/28/2023 4 CFO REG/PERMfTTING FORM <br />Inuredienti: Enriched f kxr (wheat flour, ntadn, reduced iror\ thiamine, mononitrate riboflavin <br />and folic acid), butter (rrik, salt), chocolate chips (sufar, chocolate liquor, cocoa butter, butterfat <br />(mil), walnuts, s<ar, em salt, artificial van fl la extract, batarx soda <br />Made in a home kitchen <br />Net Wt 3 oz. (85.05g) <br />BIG CAKE BAKER <br />Stockton CA 95209 <br />Permit# 012345 <br />Issued in: San Joaquin County <br />6. Disposal of Waste: <br />Please check what type of treatment is used to dispose of waste <br />^^ublic Sewer Service Private Septic System <br />in the event of septic system failure or plumbing problem, you are required to notify San Joaquin County Environmental Health <br />Department immediately. <br />7, Water Source: <br />Pease Identify the water source to be used in Cottage Food Facility (check one box) <br />^Name of Public Water System or Community Services District: VlflULZ <br /> Private Water Supply**, Identify the source (well, spring, surface, etc.): <br />Private Water Supply: Initial Water Quality Results <br />Check boxes below if initial water testing has been completed. <br />All testing must be done at a State Certified Laboratory. Either attach lab results or provide name of lab, date & <br />results in space provided next to type of test. <br />•(Testing frequency for transient Non-Community Water Systems after initial testing) <br /> Bacteriological Test (quarterly*): <br /> Nitrate Test (yearly*):