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Environmental Health - Public
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1600 - Food Program
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PR0544090
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Entry Properties
Last modified
4/2/2020 2:29:20 PM
Creation date
3/4/2019 4:00:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544090
PE
1608
FACILITY_ID
FA0025077
FACILITY_NAME
SWEET DAISY BAKING CO
STREET_NUMBER
421
STREET_NAME
DAISY
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
421 DAISY AVE
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SA N s I 0 n Q U IN Environmental Health Department <br /> -----C 0 U NHT Y----- <br /> 7. 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, 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 /> I, <br /> �C, agree to grant access to the local health department to <br /> con uct 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 consurner complaint or <br /> food-borne illness <br /> I,y eor[',b A66 \ 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)") <br /> �- II <br /> Owner's Signature Print Name Date <br /> `T1,A-0 L-0-6 k-IL Y'-U els <br /> Swee Oaesy <br /> Sam✓ %✓ire ¢n-�S <br /> SweetDaisyBakingCo.com <br /> Find us: Facebook& Instagram l Ck Lbs ��A114,A`� <br /> MADE IN A HOME KITCHEN <br /> Permit: PT0026455 San Joaquin <br /> Frosted Sugar Cookies <br /> Ingredients: Enriched flour, sugar, <br /> honey, butter, eggs, corn starch, <br /> vanilla extract, lemon extract, <br /> lemon zest, powdered sugar, light <br /> corn syrup,vanilla extract, lemon <br /> extract, meringue powder, water, <br /> food coloring <br /> Contains or made in a kitchen <br /> which also processes wheat, eggs, <br /> 2 of 2 <br />
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