My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2021
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
V
>
VECINDAD
>
744
>
1600 - Food Program
>
PR0546528
>
COMPLIANCE INFO_2021
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/23/2021 3:03:56 PM
Creation date
2/23/2021 2:58:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546528
PE
1608
FACILITY_ID
FA0026385
FACILITY_NAME
MADE BY BUNNY
STREET_NUMBER
744
Direction
S
STREET_NAME
VECINDAD
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
744 S VECINDAD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
9
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SA N J O A Q U l N Environmental Health Department <br /> COUNTY <br /> Example: <br /> IMADE iQ`'A HOME KITCHEN <br /> Permit 4- 12345 <br /> Issued in county: County name <br /> Chocolate Chip Cookies'Pith Walnuts <br /> Sally Baker <br /> 123 Cottage Food Lane <br /> Anywhere,CA 9011"\ <br /> Ingredients: Fnriched(lour(V►q►eat flour.niacin,reduced iron,thiamine, <br /> mononitrate,riboflavin and folic acid).butter(milk,salt),chocolate drips <br /> (sugar,chocolate liquor.cocoa butter,butterfat(inilk). walnuts,sugar,egos, <br /> salt,artificial vanilla extract,baEng soda. <br /> Contains:Wheat,eggs,mtM soy,i%minuts <br /> Net Wt.3 oz(95.049g) <br /> Note:For the Issued in County'-Identify the jurisdiction(cityJcounty)where you are obtaining approval. <br /> 6. Disposal of Waste: <br /> Please check what type of treatment is used to dispose of waste <br /> W Public Sewer Service ❑ Private Septic System <br /> in the event of septic system failure or plumbing problem,you are required to notify San Joaquin County Environmental Health Department <br /> immediately. <br /> 7. Water Source: <br /> Pease Identify the water source to be used in Cottage Food Facility(check one box) <br /> g) Name of Public Water System or Community Services District: �004kh " 11 ��,�v y [I A <br /> El Private Water Supply*", Identify the source (well, spring, surface, etc.): C <br /> Private Water Suppty: lnftlal Water Quality Results <br /> Check boxes below if initial water testing has been completed. <br /> All testing must be done at a State Certified Laboratory. Either attach lab results or provide name of lab,date& <br /> results in space provided dbxt'fo type of test. <br /> *(Testing frequency for transient Non-Community Water Systems after initial testing) <br /> ❑ Bacteriologidal Test(quarterly"): <br /> ❑ Nitrate Test'(yearly*): <br /> ❑ Nitrite Test(every 3 years*): <br /> "Additional information may be required if food is prepared from a home with a private water supply—check with local Jurisdiction. <br /> 8. Food Processor Course: Initial if you agree to abide by the following: j27 S <br /> Within 3 months of being approved to operate by the Environmental Health Department, please provide proof <br /> of completion of the California Food Handler course in lieu of the California Department of Public Health <br /> (CDPH)food processor course. <br /> For more information see"CDPH website www.cdph.ca ovlproarams/Pages/fdbCottageFood.asRx <br /> 4of5 <br /> EHD 16-27 6/29117 CFO REGIPERMITTING FORM <br />
The URL can be used to link to this page
Your browser does not support the video tag.