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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547417
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
2/17/2022 1:31:09 PM
Creation date
2/17/2022 1:30:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547417
PE
1608
FACILITY_ID
FA0026958
FACILITY_NAME
SUGAR MADE SPECIAL
STREET_NUMBER
2336
STREET_NAME
GRENOBLE
STREET_TYPE
DR
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2336 GRENOBLE DR
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN <br />- COUNTY <br />El Syrup Sorghum <br />Syrup <br />El Donuts <br />or Baked <br />Donuts and Waffles <br />El Roasted Coffee <br />(Beans/Grounds) <br />❑ Dried Hot Chocolate <br />Environmental Health Department <br />g Chocolate Covered Nonperishable Food <br />❑ Other <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 htto //www accessdata fda pov/scripts/cdrh/cfdocs/cfCFR/CFRSearch cfm?CFRPart=150 <br />Food Descriptions: <br />e <br />2 of <br />EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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