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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACKTONE
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1600 - Food Program
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PR0548956
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COMPLIANCE INFO_2024
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Last modified
3/27/2024 9:57:44 AM
Creation date
3/8/2024 2:22:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0548956
PE
1609
FACILITY_ID
FA0028074
FACILITY_NAME
DOGTOWN COTTAGE KITCHEN
STREET_NUMBER
24400
Direction
N
STREET_NAME
JACKTONE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
24400 N JACKTONE RD
P_LOCATION
99
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 />Vegetable and Potato Chips <br />1]3 Chocolate Covered Nonperishable Food <br />E2 <br /> <br />Dried Hot Chocolate 11 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.qov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfrn?CFRPart=150 <br />/. <br />Food Descriptions: Orange Jam: Oranges, Lemon,(ugar) water. <br />k‘' Strawberry Jam: Strawberries, sugar, lemon juice, & pectin. <br />Blackberry Jam: Blackberries, sugar, lemon juice, & pectin. <br />Peach Jam: Peaches, sugar, lemon juice, & pectin. <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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