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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FRED RUSSO
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5868
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1600 - Food Program
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PR0547274
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/21/2022 2:16:56 PM
Creation date
12/21/2022 2:15:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547274
PE
1608
FACILITY_ID
FA0026845
FACILITY_NAME
KELLY'S KONFECTIONS
STREET_NUMBER
5868
STREET_NAME
FRED RUSSO
STREET_TYPE
DR
City
STOCKTON
Zip
95212
CURRENT_STATUS
01
SITE_LOCATION
5868 FRED RUSSO DR
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
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EHD - Public
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SAN10 A Q U I N Environmental Health Department <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, 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, W'1N°M* L/ , agree to grant access to the local health department to <br />conduct an ins 'on of my cottage food operation (mark one) <br />"Class A": In the event of a consumer <br />complaint or reported food-bome illness <br />❑ "Class B": For regular annual facility inspections <br />and in the event of a consumer complaint or <br />food-bome illness <br />I, I�wl/v v agree to notify the San Joaquin County Environmental <br />Health Departmerif 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 />EHD 16-298127122 2 CFO REG/PERMnTWG RENEWAL FORM <br />
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