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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BEARDSLEY
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2356
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1600 - Food Program
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PR0546114
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
10/11/2024 2:18:53 PM
Creation date
9/11/2024 9:32:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0546114
PE
1609 - CLASS B COTTAGE FOOD-INDIRECT SALES
FACILITY_ID
FA0026080
FACILITY_NAME
A GREEN ZONE C
STREET_NUMBER
2356
STREET_NAME
BEARDSLEY
STREET_TYPE
AVE
City
MANTECA
Zip
95337
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
2356 BEARDSLEY AVE MANTECA 95337
Tags
EHD - Public
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OVA itif Nfliftt fooli <br />r <br />P ii <br />tAo.Ak ((LK <br />'it I It fro <br />10.0,11. V VI.V,V1VV. <br />Nock-No (4 <br />SAN , 1,1,111\0111N Environmental Health ()apartment <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />1111111ealituhP 1¼101110 <br />k 14)q\t. *1 'llyolo ii <br />I Y 1 i, <br />WoRoi., (II opiplI. uiPutup 11)1.11,11,411, <br />pi I <br />Caltill9r1911; <br />I I lu A" (I Hit ,' I ',otos Mily) 1 MI "chum rt.(I moo flu indlrect Solar) $486 <br /> Initial If you ogres to ablda by the following: OA <br />Iii ii, , ,„,i,,„i mum, in moat fillings urn potentially hazardous and are NOT ALLOWED. Only I ilt.' • Ili,11 .111,Ii Iii iiliti "Ili Hi lilt illy Ii .«Iouti" ore opprovort for preparation by a Cottnon Iona Operation <br />e„„I., ii III ietnIe tete lei oil kttip lhom milt) from boctoriol growth Met could be a <br />13111hos ii liii bona fllPtit <br />PftditISIL <br />'10VI(Iti ti hut Ot till pri )11111 As you tiro propurIng If propnrIng trims, lollios, in fruit buttons include e list of <br />iiiisoilianto (attach stipiii ilia pogo if noodo(I) <br />I (sill I Ira <br />""I ("1 "'("( 1 <br />Jc., <br />\ ck <br />V 't <br />erocluqt Lobellnai <br />nittuil two WallaIts (his form for Iwo of your CFO products (only one WWI Is requirod It only ono product Is <br />Ifyglgrigittst, <br />Ploatoo chock what typo at water 1101.11110 IN being used at Ow ( <br />1,..j plivat,,w,114 <br />'if ti pi Iloilo woll, 1111,1(1111111 tsslistoil we or iftinufulu rosiilts (11111fIllily blictodii mid Nitrato results,) <br />I 'god Plio,c0199! <br />Athol' hit iii 11,111.110i coilificution for owitoi Lind (inch individual II put wore not subinIttod with initial application <br />al.i rititi/o1 omployoos) <br />r i I I IItIII(IPI A V" I Pun I 401 kku, n Caltiornia !) I 1 ;1 011468 3420 I F 209 404-0138 I www slo,ohrl corn <br />mpg. ...u..V <br />,20
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