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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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TENAYA
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1037
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1600 - Food Program
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PR2400342
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
3/12/2025 4:18:20 PM
Creation date
3/11/2025 3:45:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2400342
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0001262
FACILITY_NAME
BLUE GOOSE BAKE SHOP
STREET_NUMBER
1037
STREET_NAME
TENAYA
STREET_TYPE
CT
City
MANTECA
Zip
95337
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1037 Tenaya CT Manteca 95337
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 />Li Vegetable and Potato Chips <br />[11 Chocolate Covered Nonperishable Food <br />El Dried Hot Chocolate El Fruit Infused Balsamic Vinegar <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />El 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.qoviscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />C0Oki ; inciudI19 ctocoictie Lri) p, m m, (nki (3,61 <br />a e boitcr, peonu bu rtcr "•nic',1‘-c_r_clood browned <br />-to cc-CC cocc.. AS tti i I CIc emon, chocuicATc <br />and coconut <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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