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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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A
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AVENUE A
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614
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1600 - Food Program
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PR0549050
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
5/16/2024 2:38:52 PM
Creation date
4/24/2024 1:55:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0549050
PE
1608
FACILITY_ID
FA0028156
FACILITY_NAME
DOUGH DOUGH BIRDS
STREET_NUMBER
614
STREET_NAME
AVENUE A
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
614 AVENUE A
P_LOCATION
05
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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El <br />1=1 <br />El <br />1=1 <br />Dried or Dehydrated <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Other <br />El <br />1=1 <br />El <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Hot Chocolate <br />El <br />El <br />CI <br />Vegetable and Potato Chips <br />Chocolate Covered Nonperishable Food <br />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.qoviscripts/cdrhicfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />'50 Vot a_ 0 <-*Voes et_C <br />St9 ldlid(A) LA.3 CA:v‘v‘_0, vwe <br />tAcci-e—Ak\ tit c Locol.c <br />ICL L&\ cm&LS/A.x.k.c <br />1,01-e?„4 <br />sow ccAliPA ArN \4 C04- <br />r <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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