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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MILLS
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1600 - Food Program
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PR0548662
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/15/2023 10:34:34 AM
Creation date
9/13/2023 3:26:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548662
PE
1609
FACILITY_ID
FA0027844
FACILITY_NAME
HONEY ROCK BOTANICALS
STREET_NUMBER
1021
Direction
S
STREET_NAME
MILLS
STREET_TYPE
AVE
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1021 S MILLS AVE
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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❑ Dried or Dehydrated ❑ Dried Vegetarian- Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> El Fried or Baked El <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 Regulations <br /> http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfC FR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> PC?qty � <br /> bra 01 4rdw, Qqi�, dtirel hz44�-- 6zrnW4 _ <br /> G�JGnt AV& /rn,-n.e f�CG/ df&(-f lu e-a"J- — <br /> EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM <br />
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