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COMPLIANCE INFO_2016-2019
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1600 - Food Program
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PR0540811
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COMPLIANCE INFO_2016-2019
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Entry Properties
Last modified
9/29/2020 4:45:40 PM
Creation date
4/30/2019 10:51:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2019
RECORD_ID
PR0540811
PE
1609
FACILITY_ID
FA0023332
FACILITY_NAME
BLOOM BAKERY
STREET_NUMBER
1835
STREET_NAME
PIEDMONT
STREET_TYPE
DR
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1835 PIEDMONT DR
P_LOCATION
04
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Dried or Dehydrated Dried Vegetarian- <br /> Vegetables ❑ Based Soup Mixes ❑ Vegetable and Potato Chips <br /> Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> ❑ Other: <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 Regulations <br /> ham://www.accessdata.fda.aov/scripts/cdrh/cfdocs/cfCFR/CFRSearch cfm?CFRPart=150 <br /> Food Descriptions: <br /> -- A-+t"rn d o' - <br /> EHD 16-276/29/2015 2 CFO REG/PERMITTING FORM <br />
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