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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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PR0546317
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/3/2020 5:43:45 PM
Creation date
12/3/2020 4:15:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0546317
PE
1608
FACILITY_ID
FA0026237
FACILITY_NAME
RISING BLOOM SWEET TREATS
STREET_NUMBER
1819
STREET_NAME
PLUMAS
STREET_TYPE
DR
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
1819 PLUMAS DR
P_LOCATION
07
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SA N J O A Q U I N Environmental Health Department <br /> COUNTY— <br /> El Sweet Sorghum ❑ Roasted Coffee fiQ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) f' <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 hrip://www accessdata fda aov/scdr)ts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRParY–"150 ,J <br /> Food Descriptions: IOl I I'1�Y ) r J �MJW M�y I"+�Yl r u l y i rr) <br /> of <br /> Ar Qam Ta�Y o ,A 4 CO velredl q l� aIYVI� ori <br /> 11 yr ullid 1of <br /> CUO)l-1`QC-; CJVI60I,14 "10A-E CJV1oC4WI, Ol�bl� <br /> Cwc.ol ��kl/ J'�-1r Cuay-;ter.. <br /> anal (,t�'1llgt1VlVl �1U11ulis , Pd IY"� hl�llte G4�lu� lwte� <br /> m i 11� vbto Ga 14iJ a ll)d A114- cmxol lfe. <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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