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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0546558
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
3/31/2021 2:25:14 PM
Creation date
3/31/2021 2:22:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546558
PE
1608
FACILITY_ID
FA0026406
FACILITY_NAME
THE COOKIE GUY
STREET_NUMBER
1377
STREET_NAME
WIMBLEDON
STREET_TYPE
CT
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1377 WIMBLEDON CT
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAJ O A Q U ( N Environmental Health Department <br /> —COU NTY— <br /> Sweet Sorghum Roasted Coffee <br /> Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> ❑ Fried or Baked El 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 http7//www aooessdata fda aov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> aAKE9u S,tgr_E COO KfES . AA551C rLAVORS ctJ/TU A!D /MIZ67/0�/ <br /> F(Avoetµ/-s. ao,TTE-e �s0&A9- I AgT{SIAN 910uRS <br /> 2of5 <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />
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