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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546171
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
9/22/2020 9:46:40 AM
Creation date
9/10/2020 4:39:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0546171
PE
1608
FACILITY_ID
FA0026123
FACILITY_NAME
ZELPAMORE
STREET_NUMBER
926
STREET_NAME
MENDOCINO
STREET_TYPE
CT
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
926 MENDOCINO CT
P_LOCATION
07
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SA N J O A Q U I N Environmental Health Department <br /> - -COU NTY - <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup (Beans/Grounds) ElChocolate 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 httr)://www.accessdata.fda.00v/scripts/cdrh/cfdoes/dCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> IN fi #Cff kJ04 l <br /> 2=1A) MOO <br /> VIW ILU Ctfitr-oF <br /> Pb Inwoupy <br /> L4Taof, Ch <br /> AdD l> rS k R� a �iauR ; o�L; Ufi'�G� zt xTl�fl�, <br /> 11-ML4 ZEST/ ABX INC 161 A � & IV/ SY r-4 ax fn- <br /> Wftk oR MILH <br /> CMN i' - 9I-KI, FLOW 40D F6�S <br /> �9V � OF ONE 9 IA&tc C�k_ = /Z 5 /3s <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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