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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MANZANITA
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14811
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1600 - Food Program
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PR0548117
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
1/18/2023 7:57:35 AM
Creation date
12/8/2022 8:58:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0548117
PE
1609
FACILITY_ID
FA0027457
FACILITY_NAME
BLESSED GLUTENLESS BAKERY
STREET_NUMBER
14811
STREET_NAME
MANZANITA
STREET_TYPE
WAY
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
01
SITE_LOCATION
14811 MANZANITA WAY
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> ❑ Dried or Dehydrated [, Dried Vegetarian- <br /> Vegetables Based Soup Mixes ❑ Vegetable and Potato Chips <br /> ❑ Sweet Sorghum ❑ Roasted Coffee <br /> Syrup (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> ❑ Fried or Baked <br /> Donuts and Waffles ❑ Dried Hot Chocolate ❑ Fruit Infused Balsamic Vinegar <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://www accessdata fda gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch cfm?CFRPart150 <br /> Food Descriptions: <br /> Y�L�� -n OL <br /> ri r.oIrti LY <br /> i �n \J1lP <br /> 2 of <br />
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