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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EMORY OAK
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1600 - Food Program
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PR0548711
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
10/3/2023 2:14:45 PM
Creation date
10/3/2023 2:14:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548711
PE
1608
FACILITY_ID
FA0027881
FACILITY_NAME
RVZVLVN SWEETS
STREET_NUMBER
337
STREET_NAME
EMORY OAK
STREET_TYPE
PL
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
337 EMORY OAK PL
P_LOCATION
07
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />E.1 <br />LI <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Hot Chocolate <br />ID Vegetable and Potato Chips <br />El Chocolate Covered Nonperishable Food <br />LI 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.goviscripts/cdrb/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />Ube Mini Cakes <br />Churro Mini Cakes <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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