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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LA MESA
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1600 - Food Program
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PR0548769
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
11/15/2023 3:06:50 PM
Creation date
11/15/2023 3:06:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548769
PE
1608
FACILITY_ID
FA0027931
FACILITY_NAME
ANTOJITOS SAAVEDRA
STREET_NUMBER
719
STREET_NAME
LA MESA
STREET_TYPE
CT
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
719 LA MESA CT
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Sweet Sorghum <br />Syrup <br />Roasted Coffee <br />(Beans/Grounds) cy/ Chocolate Covered Nonperishable Food <br />Fried or Baked <br />Donuts and Waffles El Dried Hot Chocolate LI Other <br />SW:JOAQUIN <br />----COUNTY <br />Environmental Health Department <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/cdrhicfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />alVe 1f1X1 - Cave <br />Uttev <br />D14101- 11(01-M <br /> <br />Ginb(oitqf ilpfpect <br /> <br />-1-1—n-p7;6 C (.041C191tc, Mftifitiliovci MOS) <br />Fried <br />klatOC <br />-MAW; <br />2 of 5 <br />EHD 16-276129117 CFO REGIPERMITTING FORM
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