Laserfiche WebLink
Example: <br /> BIG CAKE BAKER <br /> Stockton CA 95209 <br /> Permit#012345 <br /> issued im San Joaquin County <br /> Chocolate Chip Cookies with Walnuts <br /> lrgredienm Enriched flour[vitm hour,niacin,reduced ivory thiarnin_marwnitrace,riboflavin <br /> and fdir=arid),butwr(milk,salt),dencotatecNps(sugar,duxolatelquor cocoa butter,butterfat <br /> (mo),walnut-%sugar,eggs,sad art6dalvandla earn.belong soda <br /> Contains: Wheat, milk,eggs, soy, walnuts <br /> Made in a home kitchen <br /> Net Wt. 3 oz. (85.05g) <br /> Note:For the'Issued in County"-identify the jurisdiction(city/county)where you are obtaining approval. <br /> 6. Disposal of Waste: <br /> Please check what type of treatment is used to dispose of waste <br /> ® Public 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: MHCSD <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*): <br /> EHD 16-27 6/2912023 4 CFO REGIPERMITTING FORM <br />