SARY/HEADQUARTERS LETTER OF AGREEMENT THIS LETTER MUST BE RENEWED ANNUALLY Sections 114295, 114339, and 114341 of the California Retail Food Code require that all Mobile Food Facilities and Annual Temporary Food Facilities operate in conjunction with a commissary, mobile support unit or other facility approved by the local regulatory agency. I) THIS SECTION TO BE COMPLETED BY THE FOOD FACILITY OWNER Facility Name: Health Permit Number: Facility Mailing Address: City: Street No. Permint Own.
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How to fill out the CA DEH FH-273 online
This guide provides a clear and supportive approach for completing the CA DEH FH-273 form online. Follow the step-by-step instructions to ensure accurate submission and compliance with local regulations.
Follow the steps to complete the CA DEH FH-273 form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the section labeled 'I) THIS SECTION TO BE COMPLETED BY THE FOOD FACILITY OWNER,' enter the facility name in the designated field. Provide the health permit number, mailing address, city, street number, owner's name, and contact information including phone and email.
- Proceed to the second section titled 'II) THIS SECTION TO BE COMPLETED BY THE COMMISSARY/HEADQUARTERS OWNER.' Here, state that the food facility has permission to use the commissary for various purposes. Tick the boxes for food preparation, wastewater disposal, food storage, and any other relevant services as applicable.
- Fill in the commissary or headquarters health permit number, name, address, city, street number, and owner’s name. Include the contact information such as phone number and email address.
- Ensure to provide the date on which the form is being completed. The section requires a signature from the commissary/headquarters owner to validate the agreement.
- Lastly, review the filled form for accuracy. You may save your changes, download the document, print it for physical submission, or share it electronically.
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