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COMPLIANCE INFO_2023
Environmental Health - Public
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WILLIAMSON
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1600 - Food Program
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PR0547399
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
2/2/2023 10:53:51 AM
Creation date
2/2/2023 10:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0547399
PE
1608
FACILITY_ID
FA0026945
FACILITY_NAME
MELO BREAD
STREET_NUMBER
801
STREET_NAME
WILLIAMSON
STREET_TYPE
RD
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
801 WILLIAMSON RD
P_LOCATION
04
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN JOAQUIN <br />Environmental Health Department <br />7. Delivery Limitation: Initial if you agree to abide by the following: KC <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, do t:vf N COFN-t , 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 />1, dtVim l N C4F_ML . 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 />/N <br />,5, C,,9IN✓Cr9 <br />23 <br />f LV/)V gotta • which'+ fatw/lr Wg4IM , s4t, <br />Sts.," r,,PattS : wncHn rieua, wg7eK , W1 CCX~ZS <br />SEtVe#7 t?,LW WncA7 P( -.,A, W4'?GV, SAty, 504WIro, PurNPkIN SCEV iylrrtrw s�SE M� <br />r14% , NlL2t4 xiro, GE4clead xyle <br />2 oft <br />
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