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COMPLIANCE INFO 2018-PRESENT
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0543850
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COMPLIANCE INFO 2018-PRESENT
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Last modified
12/13/2018 11:44:38 AM
Creation date
12/7/2018 9:48:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018-PRESENT
RECORD_ID
PR0543850
PE
1608
FACILITY_ID
FA0024933
FACILITY_NAME
DARK HORSE BOUTIQUE & GOURMET POPCORN
STREET_NUMBER
23301
Direction
N
STREET_NAME
BRYANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
23301 N BRYANT RD
P_LOCATION
99
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\B\BRYANT\23301\COMPLIANCE INFO 2018-PRESENT.PDF
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EHD - Public
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SANA O A Q U IN Environmental Health Department <br /> —COUNTY <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> El Donuts and Waffles ElDried Hot Chocolate ElOther <br /> ' Do not contain eggs,cream,or cream cheese <br /> "If preparing jams,jellies or fruit butters,include a list of ingredients(attach separate page if needed). These items <br /> must comply with standards described in Part 150 of Title 21 of the Code of Federal <br /> Regulations http://www.accessdata.fda.gov/scripts/cdrh/cfdoes/efCFRICFRSearch.dm?CFRPart=150 <br /> Food Descriptions: <br /> Q�cr k La 1 14- 3-o t3 <br /> l V TD \rsrz —PlAck1l, t &q <br /> 2 of <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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