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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BLUE FOX
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9143
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1600 - Food Program
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PR0548541
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/12/2023 3:59:08 PM
Creation date
9/12/2023 3:58:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548541
PE
1608
FACILITY_ID
FA0027747
FACILITY_NAME
CULEBRA COFFEE
STREET_NUMBER
9143
STREET_NAME
BLUE FOX
STREET_TYPE
WAY
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
9143 BLUE FOX WAY
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SANAAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />El Dried or Dehydrated <br />Vegetables <br />I=1 Sweet Sorghum <br />Syrup <br />E Fried or Baked <br />Donuts and Waffles <br />El <br />'71\ <br />El <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Hot Chocolate <br />I=1 Vegetable and Potato Chips <br />0 Chocolate Covered Nonperishable Food <br />El Fruit Infused Balsamic Vinegar <br />0 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.accessdatafda.goviscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />o/Ve cry 1,i/4 e 41-1(14 <br />2 of 5
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