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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAM
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1600 - Food Program
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PR0549015
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
9/13/2024 2:45:54 PM
Creation date
9/13/2024 2:45:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0549015
PE
1608
FACILITY_ID
FA0028124
FACILITY_NAME
DEFIANT BAKING COMPANY
STREET_NUMBER
500
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
500 N HAM LN
P_LOCATION
02
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 />LII Vegetable and Potato Chips <br />0 Chocolate Covered Nonperishable Food <br />LI <br />Dried Hot Chocolate LI Fruit Infused Balsamic Vinegar <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) LI <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.00v/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />cpou\i&m5kk cbczucke, Voveaci ria tiO rs <br />CZ'OSC-040-1-i SCA c cic\.\- <br />CKCAAk C <br />\I\ACILvtito 'ke\. S Lncv <br />So u'c cko 03 ,\ 'cky-V7 W\ Ckok.v <br />1\ct-stio (A-) t \ <br />END 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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