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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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PR0547869
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/12/2022 4:06:57 PM
Creation date
10/12/2022 4:05:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547869
PE
1608
FACILITY_ID
FA0027286
FACILITY_NAME
KEL'S CUSTOM COOKIES
STREET_NUMBER
2650
STREET_NAME
BONIFACIO
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
2650 BONIFACIO DR
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN <br />COUNTY— <br />Environmental <br />OUNTY <br />Environmental Health Department <br />❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br />Syrup (Beans/Grounds) <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 httl)://www.accessdata.fda.gov/scripts/cdrh/efdocslcfCFR/CFRSe rrh.cfm?CFRPart=150 <br />Food Descriptions: <br />Vanilla bean sugar cookie with vanilla royal icing <br />Cinnamon sugar cookie with vanilla royal icing <br />Vanilla almond sugar cookie with vanilla royal icing <br />2of5 <br />EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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