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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548874
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
1/17/2024 11:38:49 AM
Creation date
1/17/2024 11:38:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0548874
PE
1608
FACILITY_ID
FA0028012
FACILITY_NAME
SUGAR VISIONS COOKIES
STREET_NUMBER
5073
Direction
N
STREET_NAME
PURVIANCE
STREET_TYPE
LN
City
LINDEN
Zip
95236
CURRENT_STATUS
01
SITE_LOCATION
5073 N PURVIANCE LN
P_LOCATION
99
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Sweet Sorghum <br />Syrup <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried or Dehydrated <br />Vegetables <br />Dried Vegetarian- <br />Based Soup Mixes <br />Vegetable and Potato Chips <br />Chocolate Covered Nonperishable Food <br />0 Dried Hot Chocolate 0 Fruit Infused Balsamic Vinegar <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.doWscripts/cdrh/cfdocsicfCFR/CFRSearch.cfm?CFRPart=150 <br />0 <br />0 <br />0 Other <br />Fried or Baked <br />Donuts and Waffles <br />Food Descriptions: <br />(PoV.ies a ü. i et' nl • <br />EHD 1647 8/29/2023 2 CFO REG/PERMITTING FORM
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