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COMPLIANCE INFO_2018-2020
EnvironmentalHealth
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1600 - Food Program
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PR0543396
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COMPLIANCE INFO_2018-2020
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Entry Properties
Last modified
12/11/2020 3:14:11 PM
Creation date
8/30/2019 3:13:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018-2020
RECORD_ID
PR0543396
PE
1608
FACILITY_ID
FA0024636
FACILITY_NAME
SUGA RUSHD
STREET_NUMBER
10940
STREET_NAME
WILD BERRY
STREET_TYPE
LN
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
10940 WILD BERRY LN
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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❑ Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> ❑ Donuts and Waffles ❑ Dried Hot Chocolate ❑ Fruit Infused Balsamic Vinegar <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 /> htt ://www.accessdata.fda. ov/scd ts/cdrh/cfdocs/cfCFRICFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: (1L � hrnyoIlea <br /> EHD 1627 2/3/17 2 CFO REG/PERMITTING FORM <br />
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