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COMPLIANCE INFO_2024
EnvironmentalHealth
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1600 - Food Program
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PR0548944
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COMPLIANCE INFO_2024
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Last modified
3/27/2024 11:02:25 AM
Creation date
3/27/2024 11:02:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0548944
PE
1608
FACILITY_ID
FA0028065
FACILITY_NAME
ALGODONES MARTINEZ
STREET_NUMBER
4332
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4332 PACIFIC AVE APT 40
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Food Descriptions: <br />El Dried or Dehydrated 0 Dried Vegetarian- <br />Vegetables Based Soup Mixes <br />0 Sweet Sorghum El Roasted Coffee <br />Syrup (Beans/Grounds) <br />0 Fried or Baked 1=1 Dried Hot Chocolate Donuts and Waffles <br />I=1 Vegetable and Potato Chips <br />El Chocolate Covered Nonperishable Food <br />1=1 Fruit Infused Balsamic Vinegar <br />Eli 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 />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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