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COMPLIANCE INFO_2016-2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MORADA
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1600 - Food Program
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PR0540888
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COMPLIANCE INFO_2016-2019
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Entry Properties
Last modified
8/5/2020 4:52:38 PM
Creation date
5/7/2019 9:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2019
RECORD_ID
PR0540888
PE
1609
FACILITY_ID
FA0023386
FACILITY_NAME
SUBURBAN HARVEST
STREET_NUMBER
5151
Direction
E
STREET_NAME
MORADA
STREET_TYPE
LN
City
STOCKTON
Zip
95212
CURRENT_STATUS
01
SITE_LOCATION
5151 E MORADA LN
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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9. Employee: Initial if you agree to abide by the following: U.A--_ <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. Delivery Limitation: Initial if you agree to abide by the following: UL:f <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, UPS, 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 /> 11. Owner's Statement: <br /> 1, DVAmP Ak4 agree to grant access to the local health <br /> department to conduct an insp ction of my cottage food operation (mark one) <br /> ❑ "Class A": In the event of a consumer � "Class B": For regular annual facility <br /> complaint or reported food-borne illness inspections and in the event of a consumer <br /> �I�p /A]J' complaint or food-borne <br /> I, �WLV lIIagree to notify the San Joaquin County <br /> Environmental Health DepOtment 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 /> L&M 0 ( DICN� All/�A 3-S-0111 <br /> Owners Signature Print Name Date <br /> EHD 16-276/29/2015 5 CFO REG/PERMITTING FORM <br />
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