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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SISKIYOU
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10652
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1600 - Food Program
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PR0544036
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COMPLIANCE INFO
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Entry Properties
Last modified
4/7/2020 1:57:53 PM
Creation date
2/12/2019 4:00:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544036
PE
1608
FACILITY_ID
FA0025042
FACILITY_NAME
CASA DE LA MIEL
STREET_NUMBER
10652
STREET_NAME
SISKIYOU
STREET_TYPE
LN
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
10652 SISKIYOU LN
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> Sweet Sorghum Roasted Coffee El <br /> Syrup (Beans/Grounds) Chocolate Covered Nonperishable Food <br /> El Fried or Baked <br /> Donuts and Waffles ❑ Dried Hot Chocolate F-1Other <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/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: '�6 �/o 0 Q-z uDa f-1 <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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