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COMPLIANCE INFO_2018-2019
Environmental Health - Public
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1600 - Food Program
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PR0543767
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COMPLIANCE INFO_2018-2019
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Entry Properties
Last modified
9/30/2020 3:14:36 PM
Creation date
2/14/2019 2:57:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018-2019
RECORD_ID
PR0543767
PE
1608
FACILITY_ID
FA0024880
FACILITY_NAME
CLAUDIA MARIE DESIGN
STREET_NUMBER
330
Direction
N
STREET_NAME
PLEASANT
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
330 N PLEASANT AVE
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SANJ o A R i �I N Environmental Health Department <br /> C C U ;N T�IYu--- <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: CkAIJI, <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 /> 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 ❑ "Class 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. (%�� i���� 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.��S.gs.�� <br /> wner's Signature Print Name Date <br /> I <br /> 2of2 <br />
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