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COMPLIANCE INFO_2021
Environmental Health - Public
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SADDLEBROOK
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2127
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1600 - Food Program
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PR0544635
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
9/28/2021 11:51:49 AM
Creation date
8/17/2021 10:58:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0544635
PE
1609
FACILITY_ID
FA0025374
FACILITY_NAME
MASALA BLEND
STREET_NUMBER
2127
STREET_NAME
SADDLEBROOK
STREET_TYPE
ST
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
2127 SADDLEBROOK ST
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SANJOA 0 U I N Environmental Health Department <br />- i -;t. - <br />7. Delivery Limitation: Initial if you agree to abide by the following: 4— <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 />I, M AIW A GLS FTA , 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, M WT -A G «-Pr's , 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 />AvtrA i <br />Print Name <br />Date <br />2 oft <br />PermnMPT0026992 <br />Made in a kitchen that handles <br />ssued in San Joaquin County, CA <br />dairy, wheat, nuts. <br />R/y� <br />C/4GU. <br />MADE IN A HOME KITCHEN <br />restree <br />driedoy <br />Handmade. No added preservatives. <br />MADEINUSA <br />�py� <br />S <br />Masala Blend n <br />he enhances <br />bagla <br />the flavors of this Masala Blend. Store in <br />the flavors of Bleu <br />IChal <br />WWW <br />1i 111111 1111u11 <br />a cod, dry place to preserve the aroma. <br />"tt�� <br />9 0017 344 4 4 <br />... <br />MASALA <br />BLEND <br />coeracrus <br />L <br />info�masalablend.com m <br />INGREDIENTS <br />www.masalablend.com <br />Black Pepper, Cardamom, <br />2127 Saddlebrook Street <br />Fennel, Ginger <br />NETWT. 3oz(85g) <br />Stockton, CA 95209 e <br />2 oft <br />
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