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COMPLIANCE INFO 2017-PRESENT
Environmental Health - Public
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PR0539318
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COMPLIANCE INFO 2017-PRESENT
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Entry Properties
Last modified
12/13/2018 1:09:09 PM
Creation date
12/7/2018 9:19:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-PRESENT
RECORD_ID
PR0539318
PE
1608
FACILITY_ID
FA0022482
FACILITY_NAME
BAKLAVA CITY
STREET_NUMBER
21000
STREET_NAME
TINNIN
STREET_TYPE
RD
City
MANTECA
Zip
95337-8518
CURRENT_STATUS
02
SITE_LOCATION
21000 TINNIN RD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\A\ATHERTON\801\PR0539318\COMPLIANCE INFO 2017-PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2017-PRESENT
QuestysRecordDate
10/4/2017 9:25:07 PM
QuestysRecordID
2926558
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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9. Employee: Initial if you agree to abide by the following: <br /> I understand that I may not have more than one full-time equivalent cottage food employee, not <br /> including a family member or household member of the cottage food operator, working within the <br /> registered or permitted area of a private home where the cottage food Operator resides and where <br /> cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to <br /> consumers. <br /> 10. Gross Annual Sales: Initial if you agree to abide by the following: <br /> I understand that I will lose my CFO status and will need to become permitted in a commercial facility if <br /> my CFO business exceeds the following gross annual sales figures for the calendar years in the <br /> following table: <br /> Calendar Year Gross Annual Sales' <br /> In2013......................................................................... ...............................$35,000 <br /> In2044...............................................................................................................$45,000 <br /> In 2015 and in subsequent years.......................................................................$50,000 <br /> 11. Delivery Limitation: Initial if you agree to abide by the following: <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, all"Class <br /> A"and"Class B" CFO products must be delivered directly (in person)to the customer. The CFO products <br /> may not be delivered via the United States Postal Service, LIPS, FedEx, or using any other indirect <br /> delivery method as deliveries are regulated by, and subject to, CDPH registration and state and federal <br /> requirements. <br /> 12. Owner's Statement: <br /> 1, IE Y^I (-.CA _.D G ��tkf agree to grant access to the local health <br /> department to conduct an inspection of my cottage food operation (mark one) <br /> "Class A": In the event of a consumer ❑ "Class B": For regular annual facility i <br /> complaint or reported food-borne illness inspections and in the event of a consumer <br /> complaint or food-borne <br /> I, Y1 C l�o��s�. agree to notify the San Joaquin County <br /> Environmental Health Department prior to modifying my food list, type of operation, and/or method <br /> of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, <br /> regardless of whether the product is sold, consigned, or given away. <br /> cA- r 1 Cci, �G(l(A-Y a�41 q <br /> wner's Signature Print Name DateU <br /> E <br /> i <br /> EHD 16-27 1/6/2014 4 CFO REG/PERMITTING FORM <br /> 9 <br />
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