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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PIEDMONT
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1600 - Food Program
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PR0540811
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
3/5/2026 10:23:58 AM
Creation date
1/22/2026 8:53:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0540811
PE
1609 - CLASS B COTTAGE FOOD-INDIRECT SALES
FACILITY_ID
FA0023332
FACILITY_NAME
BLOOM BAKERY
STREET_NUMBER
1835
STREET_NAME
PIEDMONT
STREET_TYPE
DR
City
MANTECA
Zip
95336
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1835 PIEDMONT DR MANTECA 95336
Tags
EHD - Public
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SA N 10 A Q U I N Environmental Health Department <br /> 7- Delivery Limitation: Initial if you agree to abide by the following: i R <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 /> 8. Owner's Statement: <br /> I, _Linda D Raby agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> ❑ "Class A": In the event of a consumer ® "Gass 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, Linda r)Rahy 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 /> C !{ /25 <br /> _ I_inria ❑ Rahar 11125 <br /> Owner's Signature Print Name Date <br /> 2 of 2 <br />
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