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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0540811
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
5/18/2021 4:24:32 PM
Creation date
5/11/2021 8:47:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0540811
PE
1609
FACILITY_ID
FA0023332
FACILITY_NAME
BLOOM BAKERY
STREET_NUMBER
1835
STREET_NAME
PIEDMONT
STREET_TYPE
DR
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1835 PIEDMONT DR
P_LOCATION
04
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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MADE IN A HOME KITCHEN MADE IN A HOME KITCHEN <br /> Permit#PT0025026 Permit#PT0025026 <br /> Issued in San Joaquin County Issued in San Joaquin County <br /> Linda Raby Linda Raby <br /> 1835 Piedmont Drive Piedmont Drive <br /> Manteca, CA 95336 Manteca, CA 95336 <br /> (805)550-9542 (805)550-9542 <br /> SUGAR COOKIE BLUEBERRY MUFFIN <br /> Ingredients: Enriched flour(bleached wheat flour,matted Ingredients: Enriched flour(bleached wheat <br /> barley flour, niacin,iron,thiamin mononitrate,riboflavin, flour,malted barley flour,niacin,iron,thiamin mononitrate, <br /> folic acid),sugar,butter,eggs, baking powder,milk(nonfat riboflavin,folic acid),blueberries,sugar,milk(nonfat milk, <br /> r <br /> milk,vitamin A palmttate,vitamin 133),vanilla,salt. vitamin A palmitate,vitamin 03),vegetable oil,egg, baking <br /> powder,vanilla,salt. <br /> CONTAINS: WHEAT,EGGS,MILK Topping:Sugar,enriched flour(bleached wheat flour, <br /> malted barley flour,nlacin,iron,thiamin mononitrate, <br /> Net Wt. oz( g) riboflavin,folic acid),butter,cinnamon. <br /> CONTAINS:MILK,EGGS <br /> Net Wt._oz( g) <br />
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