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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541956
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
8/17/2023 4:30:10 PM
Creation date
6/27/2023 4:53:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0541956
PE
1609
FACILITY_ID
FA0024075
FACILITY_NAME
PHAT N SAUCY
STREET_NUMBER
4498
STREET_NAME
BONSAI
STREET_TYPE
AVE
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
4498 BONSAI AVE
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN <br />COUNTY- <br />Environmental Health Department <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />ID Fried or Baked <br />Donuts and Waffles <br />Other <br />LI Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Hot Chocolate <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 http://www.accessdata.fda.goviscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=1 50 <br />Food Descriptions: pf/ts' • ecaza/y (104 (a6',4 f;'4rj1ii? <br /> <br />2 of 5
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