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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SEQUOIA
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1600 - Food Program
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PR0548875
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COMPLIANCE INFO_2023
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Last modified
1/18/2024 1:28:41 PM
Creation date
1/18/2024 1:28:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548875
PE
1608
FACILITY_ID
FA0028013
FACILITY_NAME
ARTISAN ARTS BREAD
STREET_NUMBER
2588
STREET_NAME
SEQUOIA
STREET_TYPE
ST
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2588 SEQUOIA ST
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Dried or Dehydrated <br />Vegetables <br />0 <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />0 Vegetable and Potato Chips <br />0 Chocolate Covered Nonperishable Food <br />Dried Hot Chocolate 0 Fruit Infused Balsamic Vinegar <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <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.00v/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />— Gt1nA2-DO ic)e\ ves <br />END 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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