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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SAN JUAN
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472
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1600 - Food Program
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PR2400227
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/9/2025 9:48:08 AM
Creation date
4/9/2025 9:46:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2400227
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0000765
FACILITY_NAME
SUPRI_BAKES
STREET_NUMBER
472
Direction
W
STREET_NAME
SAN JUAN
STREET_TYPE
CT
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
472 W SAN JUAN CT MOUNTAIN HOUSE 95391
Tags
EHD - Public
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Dried or Dehydrated <br />Vegetables <br />El Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Hot Chocolate <br />E Vegetable and Potato Chips <br />El Chocolate Covered Nonperishable Food <br />Fruit Infused Balsamic Vinegar <br />III 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.cioviscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />Varieties of Cakes and Cupcakes with Buttercream Frosting.Tea cakes/bundt cakes without <br />frosting. All items are egg-free. <br />END 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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