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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CLEMENTINE CRT
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18052
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1600 - Food Program
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PR0548099
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/28/2022 1:38:10 PM
Creation date
12/28/2022 1:36:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0548099
PE
1608
FACILITY_ID
FA0027443
FACILITY_NAME
FAB, FREEZE, FUN
STREET_NUMBER
18052
STREET_NAME
CLEMENTINE CRT
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
18052 CLEMENTINE CRT
P_LOCATION
07
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN <br />--COU NTY---- <br />❑ <br />Dried or Dehydrated <br />❑ Dried Vegetarian - <br />'Yce2e <br />Vegetables <br />Based Soup Mixes <br />❑ <br />Sweet Sorghum <br />❑ Roasted Coffee <br />^ frieze <br />Syrup <br />(BeanslGrounds) <br />❑ <br />Fried or Baked <br />E]Dried Hot Chocolate <br />Donuts and Waffles <br />❑ <br />Other <br />Environmental Health Department <br />❑ Vegetable and Potato Chips <br />❑ Chocolate Covered Nonperishable Food <br />❑ Fruit Infused Balsamic Vinegar <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 htt:/twww.accesadata.fda. oviscri tstodrhlcfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />All free- e dried 4r-rnslca�. <br />Freeze A -fed sk4ks <br />. "e ze dried Irv,; lk duds <br />— rcree ze ari eA 4�F <br />�I� e zP C�ri ell CO raMk� <br />- J;-eeze ciy4ed CWSi rS <br />irce2e c�Yicd ��eps <br />(vie 2-e at-iec4 co.njm cam <br />— evef'2c <br />d,y'ied <br />,tokts ran&A'r-s <br />'Yce2e <br />dried <br />��mrh'.-e-s <br />— Prce 2e <br />ao(1eA <br />rusts <br />^ frieze <br />drieA <br />Soyr Ski�}les <br />Qr2e ze <br />dried <br />rnarstir..zlloWs <br />2of5 <br />
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