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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CLEMENTINE CRT
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18052
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1600 - Food Program
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PR0548099
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
1/7/2025 3:56:55 PM
Creation date
1/7/2025 3:56:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0548099
PE
1609 - CLASS B COTTAGE FOOD-INDIRECT SALES
FACILITY_ID
FA0027443
FACILITY_NAME
FAB, FREEZE, FUN
STREET_NUMBER
18052
STREET_NAME
CLEMENTINE CRT
City
LATHROP
Zip
95330
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
18052 CLEMENTINE CRT LATHROP 95330
Tags
EHD - Public
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n <br />" <br />pl <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Other fteze <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee LI (Beans/Grounds) <br />LI Dried Hot Chocolate <br />!led, Co la‘') <br />El <br />El <br />El <br />e <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 qov/scripts/cdrh/cfdocs/cfCFR/CFRSearch cfm,CFRPart=150 <br />Food Descriptions 1-acte <br />U -6'6C -z,e Arial cancki 4Aaofher <br />c) et- s-k-ktcs <br />sVithfs <br />1>ic,\4 SVate.S <br />h cAkekNS <br />(AA Vl-ectd <br />56uf t-D1lq5 <br />mossr\ rAck ows <br />cAmasko'n 'MUM\ Nia0o1S <br />CV\ We Mox5hvkAatkeMs <br />CAra !wet a,epti) Suckves <br />Sour shact \ I!=ac oitt-wo,4k116,14 <br />vi NAiti- <br />Mc0130 S6 c.c. Cove% j Sth*r r <br />tc2: c -crtOn Sand ,AYA(c.1s_ <br />oreavncict? ce mup-, <br />C.\ '1 CO St1,1\ (FA, k;cl-t 5 ;c-cci-lar, <br />au r b's) Ir. 115 <br /> <br />Nak4-chiL Lk)litik tsAlo lui <br /> <br />Mirls <br /> <br />me5 <br /> <br />ket-4 ck,v4ef",, <br /> <br />eeS <br /> <br />(cl %V v4 VivAcrs <br />c6t rai M PAS <br />&VICO le.*20 Gkiww9 <br />CclAck\I (zi <br />7:1_6_5_UP tilcAkttIvkk 0 %).Aurc <br />b h_o_rgi <br />Wavoitain NaAQslilneAN2AAse4tbc,.•(\ tikvackt A-q-fj <br />Roact ctudS <br />6,3 Kuck <br />sirA‘b\irsIs <br /> <br />i)t .t rS <br />eoAk iocjs (11"0.1s) <br /> <br />)olk j 24inciavs <br />Ro'liqs <br /> <br />eioi{ sce cetrutl <br /> <br />EHD 16.27 6/29/2023 2 CFO REG/PERMITTING FORM
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