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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0546884
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
7/1/2021 4:38:46 PM
Creation date
5/18/2021 3:13:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546884
PE
1609
FACILITY_ID
FA0026563
FACILITY_NAME
JANET'S BAKERY
STREET_NUMBER
3296
STREET_NAME
BUTTRICK
STREET_TYPE
LN
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
3296 BUTTRICK LN
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SA NA Q U I N Environmental Health Department <br /> —COUNTY--- <br /> ❑ Sweet Sorghum ❑ Roasted Coffee <br /> Syrup (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> ❑ Fried Baked <br /> Donutss and Waffles ❑ Dried Hot Chocolate ElOther <br /> Do not contain eggs,cream,or cream cheese <br /> If preparing)ams,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 Tide 21 of the Code of Federal <br /> Regulations htlo:/Aw .accessdata fda 99WscdotsfcddUcfdocs/CfCFRICFRSearch cfm?CFRPart-150 <br /> Food Descriptions: <br /> �II vi CPQ YLo� pl'"'�q v W I '..'� q{^�S'or.✓r N P,ol <br /> t0VV S'✓ca yvliik e yvlw titi �oLLUic� �lLnv <br /> VWtme� / b�11G'v�.c ppwd.wi av, 1n 5�. 1.1�k I'Y7 'nlbW1e- <br /> ©Va». <br /> FJ10 1227&W17 2 of S <br /> CFO REG?ERMnTING FORM <br /> Scanned with CamScanner <br />
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