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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0549009
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/24/2024 2:14:54 PM
Creation date
4/24/2024 2:12:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0549009
PE
1608
FACILITY_ID
FA0028119
FACILITY_NAME
PTSD PICKLING
STREET_NUMBER
445
Direction
E
STREET_NAME
ALMOND
STREET_TYPE
DR
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
445 E ALMOND DR #19
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> ❑ Sweet Sorghum ❑ Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> ❑ Fried or Baked ❑ Dried Hot Chocolate ❑ Fruit Infused Balsamic Vinegar <br /> Donuts and Waffles <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.gov/scri pts/cdrh/efdocs/cfC FR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> 140O <br /> LQ n ,r <br /> Ph a,,v t ICJ <br /> �?-" <br /> nA <br /> Sal <br /> EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM <br />
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