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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BROOKFIELD
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915
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1600 - Food Program
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PR0544179
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Entry Properties
Last modified
3/26/2019 8:43:37 AM
Creation date
3/26/2019 8:42:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544179
PE
1608
FACILITY_ID
FA0025120
FACILITY_NAME
LYRIC'S LEGACY
STREET_NUMBER
915
STREET_NAME
BROOKFIELD
STREET_TYPE
AVE
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
915 BROOKFIELD AVE
P_LOCATION
07
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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. , ��� /� i� j f Environmental Health Department <br /> c U I` T Y -- <br /> Sweet Sorghum Roasted Coffee Ve <br /> F] Syrup ❑ (Beans/Grounds) Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Donuts and Waffles F-1Dried 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: <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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