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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GOLDEN POND
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1600 - Food Program
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PR0547456
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
2/15/2024 9:48:25 AM
Creation date
1/24/2024 9:14:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0547456
PE
1609
FACILITY_ID
FA0026982
FACILITY_NAME
FERMENT & GRIND
STREET_NUMBER
894
STREET_NAME
GOLDEN POND
STREET_TYPE
DR
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
894 GOLDEN POND DR
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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o � <br /> Light Rye Sourdough <br /> !,.Rade In %\Home Kitchen <br /> Pen'nlL 4,1T0028468 <br /> Issued in San Joa:; 'in County <br /> Joe Kelley <br /> 894 Golden Pond `'i, Manteca, CA 953'^6 <br /> kelleyii@aoi.,:Gm <br /> Ingredients: Bread Flour(Unbleached hard red <br /> wheat flour,Malted barley flour)Whole Grain Rye <br /> Flour,Water,Yeast,Salt <br /> Net Wt 2lbs(970g) <br /> AO00% <br /> Sour Sandwich Loaf <br /> Made In A Home Kitchen <br /> Permit#PT0028468 <br /> Issued in San Joaquin County <br /> Joe Kelley <br /> 894 Golden Pond Dr, Manteca, CA 95336 <br /> kelleyii@aol.com <br /> Ingredients:Bread Flour(Unbleached hard red <br /> wheat flour),Malted barley flour)Whole Grain Rye <br /> Flour,All Purpose Flour,Milk,Water,Yeast,Salt <br /> Net Wt 11b 14oz(8509) <br />
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