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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BLUFF
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14221
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1600 - Food Program
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PR0547570
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
5/10/2022 10:55:56 AM
Creation date
5/10/2022 10:53:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547570
PE
1608
FACILITY_ID
FA0027063
FACILITY_NAME
THAT LUNCH LADY
STREET_NUMBER
14221
STREET_NAME
BLUFF
STREET_TYPE
DR
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
01
SITE_LOCATION
14221 BLUFF DR
P_LOCATION
99
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN <br />COUNTY -- <br />❑ Sweet 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 />❑ 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 fist 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 httD7//www accessdata fda gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch chn?CFRPart=150 <br />Food Descriptions: <br />9 <br />2 of <br />EHD 16-27 6129117 CFO REG/PERMrMNG FORM <br />
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