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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546664
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/7/2021 1:20:05 PM
Creation date
10/7/2021 1:19:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546664
PE
1608
FACILITY_ID
FA0026486
FACILITY_NAME
THE FLOURKART BAKERY
STREET_NUMBER
200
STREET_NAME
HEIRLOOM
STREET_TYPE
AVE
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
200 HEIRLOOM AVE
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SA NA O A Q U f N Environmental Health Department <br />—.e.OU.NTY— <br />Sweet Sorghum ❑ Roasted Coffee Syrup El(Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <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.aov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />2 of <br />EHD 16-276/29/17 CFO REG/PERNIFTING FORM <br />
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