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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PIEDMONT
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438
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1600 - Food Program
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PR0544941
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COMPLIANCE INFO
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Entry Properties
Last modified
2/28/2020 4:01:12 PM
Creation date
1/10/2020 3:49:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544941
PE
1609
FACILITY_ID
FA0025550
FACILITY_NAME
SIMPLY BREAD & MORE
STREET_NUMBER
438
Direction
W
STREET_NAME
PIEDMONT
STREET_TYPE
DR
City
TRACY
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
438 W PIEDMONT DR
P_LOCATION
03
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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S A W,,J <br /> 0 A 0 U N Environmental Health Department <br /> _.-._ <br /> C 0 U NTS._ - <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> El 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; <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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