Laserfiche WebLink
BIG CAKE BAKER <br />Stockton CA 95209 <br />Pe rm it# 012345 <br />ssued in: San Joaquin County <br />Chocolate Chip Cookies with Walnuts <br />Irgredients: Enriched flour 'wheat flour., niacin, reduced iron, thiamine, ma n or itrate, riboflavin <br />and folic acid), butter !milk, salt), chocolate chips (sugar, chocolate liquor, cocoa butter, butterfat <br />I m walnuts, sugar, eii,gs. salt, artficia I vanilla extract, baking soda <br />Contains: Wheat, milk, eggs, soy, walnuts <br />Made in a home kitchen <br />Net Wt. 3 oz. (85.05g) <br />Example: <br />Note. For the "Issued in County" - Identify the junSdiction (city/county) where you are obtaining approval. <br />Disposal of Waste: <br />Please check what type of treatment is used to dispose of waste <br />121 Public Sewer Service D Private Septic System <br />In the event of septic system failure or plumbing problem, you are required to notify San Joaquin County Environmental Health <br />Department immediately. <br />Water Source: <br />Pease Identify the water source to be used in Cottage Food Facility (check one box) <br />121. Name of Public Water System or Community Services District: fk) P12111`-4 Rt.)wYticLivi 4ouL, <br />El Private Water Supply**, Identify the source (well, spring, surface, etc.): <br />Private Water Supply Initial 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 next to type of test. <br />*(Testing frequency for transient Non-Community Water Systems after initial testing) <br />III Bacteriological Test (quarterly"): <br />El Nitrate Test (yearly"): <br />EHD 16-276/29/2023 4 CFO REG/PERMITTING FORM