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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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PR0547863
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/12/2022 4:31:57 PM
Creation date
10/12/2022 4:30:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547863
PE
1608
FACILITY_ID
FA0027280
FACILITY_NAME
BLUE ROSE BAKERY & TEA
STREET_NUMBER
1007
STREET_NAME
MARINERS COVE
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
1007 MARINERS COVE
P_LOCATION
07
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SAN10 A Q U I N Environmental Health Department <br />COUNTY <br />Dried or Dehydrated Dried Vegetarian- <br />❑ Vegetables E]Dried <br />Soup Mixes ❑ Vegetable and Potato Chips <br />Sweet Sorghum Roasted Coffee <br />F-1SyrupEl(Beans/Grounds) Chocolate Covered Nonperishable Food <br />❑ Fried or Baked ❑ Dried Hot Chocolate <br />Donuts and Waffles❑ Fruit Infused Balsamic Vinegar <br />Other c e` 6lien&,s <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 hltp://www.accessdata.fda.aov/scdpts/cdrh/cfdocs/dCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />IJ lG n 0... ID l <br />e.i <br />t t <br />I -f9 <br />
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