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COMPLIANCE INFO 2016-PRESENT
Environmental Health - Public
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PR0538896
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COMPLIANCE INFO 2016-PRESENT
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Last modified
1/17/2019 2:33:20 PM
Creation date
12/10/2018 8:41:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-PRESENT
RECORD_ID
PR0538896
PE
1609
FACILITY_ID
FA0022347
FACILITY_NAME
BAM TREATS
STREET_NUMBER
9
Direction
N
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
10529001
CURRENT_STATUS
01
SITE_LOCATION
9 N HUTCHINS ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS3\F\FINE\735\PR0538896\COMPLIANCE INFO 2016-PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2016-PRESENT
QuestysRecordDate
10/11/2017 11:34:12 PM
QuestysRecordID
3164659
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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6. Food Processor Course: <br /> I Attach food handler certification for owner and each individual that were r?ot submitted with initial <br /> appiication (including family.members and/or employees). <br /> 7. Delivery Limitation: Initial if you agree to abide by the foilo'ming: <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 direc#Iy (in person)to the customer. The CFO products <br /> may not be delivered via the.United.States Postal Service, UPS, FedEx, or using any other.indirect <br /> delivery method as deliveries are regulated by, and subject to, CD PH registration and state and federal <br /> requirements. <br /> 7 <br /> 8. Owner's Statement: I <br /> depart ent to conduct ari inspection of my cottage food operation'(mark one) <br /> ❑ "Gass A": In the event of a consumer � "Class B": For regular annual facility inspections <br /> complaint or;epei ted food-borne-illness and in the event of a consumer complaint or <br /> food-borne illness <br /> agree to notify the Sari Joaquin County <br /> Environmental Health Decartment prior to modifying my food list, type of operation, and/or method <br /> of seliin distributing, or otherwise-providing my CFO products to the consumer or retailers, <br /> r rdless of whether the product is sold, consigned, or given away. <br /> J. Ko_izalcm <br /> (D <br /> Si cure Frint Name Date <br /> w <br /> EHD 16.28 6129!2015 2 CFO REG/PERMITTING RENS NAL FORM <br />
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