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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CHAPARRAL
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2207
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1600 - Food Program
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PR0544316
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COMPLIANCE INFO
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Entry Properties
Last modified
5/21/2019 4:13:02 PM
Creation date
5/21/2019 4:09:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544316
PE
1608
FACILITY_ID
FA0025192
FACILITY_NAME
KATHERYN'S KITCHEN
STREET_NUMBER
2207
STREET_NAME
CHAPARRAL
STREET_TYPE
CT
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2207 CHAPARRAL CT
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN10 A Q U I N Environmental Health Department <br /> COUNTY <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup ❑ (Beans/Grounds) F-1Chocolate Covered Nonperishable Food <br /> ❑ Fried or Baked ❑ Dried Hot Chocolate ❑ Other <br /> Donuts and Waffles <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 <br /> -�Descriptions: <br /> 4G'nr`ar l <br /> C�1ts <br /> �.c�rra/m1e�l ptopl�rn <br /> l GrU.&4 <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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