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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILLOW PARK
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1648
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1600 - Food Program
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PR0547160
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/9/2021 12:50:30 PM
Creation date
9/22/2021 2:07:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0547160
PE
1608
FACILITY_ID
FA0026759
FACILITY_NAME
DWC POPP'N SNACKS
STREET_NUMBER
1648
STREET_NAME
WILLOW PARK
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
1648 WILLOW PARK WAY
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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JHJS 1{ N 1 O A O f f I N Environmental Health Department <br /> CD U rJ T Y----- <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <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 http://www.accessdata.fda.gov/scripts/edrh/cfdocs/cfGFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: Ffimmed <br /> 2 of <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />
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