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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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PR0547772
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COMPLIANCE INFO_2022
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Last modified
7/19/2022 3:43:19 PM
Creation date
7/19/2022 3:39:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547772
PE
1608
FACILITY_ID
FA0027212
FACILITY_NAME
MACKS I MACS
STREET_NUMBER
262
STREET_NAME
RAMONA
STREET_TYPE
WAY
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
262 RAMONA WAY
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SHAUN <br />COUNTY— <br />Sweet Sorghum Roasted Coffee <br />❑ Syrup El Roasted <br />❑ Fried or Baked ❑ Dried Hot Chocolate <br />Donuts and Waffles <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 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 /hw»v ac wdata,fda.gov/scOptsiodFh/cfdom/cfCFRICFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />Macaron Cookies, almond flour, powdered sugar, granulated sugar and egg whites <br />Brownies and blondies using leftover macaron cookies, butter, chocolate, oil, eggs <br />Buttercream, chocolate and other flavored ganache, chocolate chips, butter, artificial flavoring, various fruit <br />2 of <br />EHD 1&77131=17 CFO REG/PERMITTING FORM <br />
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