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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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PR2400384
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
6/2/2025 3:22:18 PM
Creation date
6/2/2025 3:20:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2400384
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0001546
FACILITY_NAME
SAIKHAM JAMISON
STREET_NUMBER
1880
STREET_NAME
PRINCETON
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1880 PRINCETON AVE STOCKTON 95204
Tags
EHD - Public
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Dried or Dehydrated 1:1 Vegetable and Potato Chips <br />El Chocolate Covered Nonperishable Food <br />Fried or Baked <br />Donuts and Waffles <br /> Dried Hot Chocolate 1=I 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.cloyiscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />Gluten free non dairy desserts: baked waffles, pancakes, cupcakes, brownies <br />Coconut candies with pandan, ube and other tropical flavors <br />Palm sugar based syrups <br />Peanut herb sauces, nut butter herb sauces <br />Vegan baking mixes <br />Dried herb seasonings <br />Dried vegan soup base <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />1=1 Vegetables <br />Other <br />Sweet Sorghum <br />Syrup <br />END 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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