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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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PR0547520
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
4/12/2022 1:27:33 PM
Creation date
4/12/2022 12:53:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547520
PE
1608
FACILITY_ID
FA0027023
FACILITY_NAME
AAFUNNELCAKES
STREET_NUMBER
1654
STREET_NAME
GLORIA
STREET_TYPE
CIR
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
1654 GLORIA CIR
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SANJ U A Q U I N Environmental Health Department <br /> OUNTY <br /> ❑ Sweet Sorghum Roasted Coffee E] Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> ❑ Fried or Baked Dried Hot Chocolate Other FLA Ad <br /> I h(t <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/cdrh/Cfdoes/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> F0'A LLSVief10+1 aVwk i^ rY-��f��✓K.�A/tn(40A 'Ar-C Cff,Li-VE to <br /> }{•iS �uclLcf. d <br /> 2 of 5 <br /> EHD 16-276129/17 CFO REG/PERMITTING FORM <br />
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