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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BOWLING
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17214
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1600 - Food Program
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PR0548816
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/4/2024 2:58:13 PM
Creation date
1/4/2024 2:57:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548816
PE
1608
FACILITY_ID
FA0027965
FACILITY_NAME
EVENTS BY NICKI
STREET_NUMBER
17214
STREET_NAME
BOWLING
STREET_TYPE
CT
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
17214 BOWLING CT
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 />0 Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />BY' Dried Hot Chocolate <br />Vegetable and Potato Chips <br />Er/ Chocolate Covered Nonperishable Food <br />Fruit Infused Balsamic Vinegar <br />0 <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.qov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />COoVt-e (=AID cx, (ackt cov,A(eot. <br />Co'.C?(• (71) THTl5vTh ((A AO\ LL <br />EHD 16-27 6/2912023 2 CFO REG/PERMITTING FORM
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