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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PELTIER
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1600 - Food Program
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PR0548849
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
10/21/2025 4:30:52 PM
Creation date
9/15/2025 1:22:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0548849
PE
1609 - CLASS B COTTAGE FOOD-INDIRECT SALES
FACILITY_ID
FA0027993
FACILITY_NAME
SOUTHER WALNUTS
STREET_NUMBER
9355
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
9355 E PELTIER RD ACAMPO 95220
Tags
EHD - Public
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□□□Vegetable and Potato Chips <br />□□□Chocolate Covered Nonperishable Food <br />□□ Dried Hot Chocolate □Fruit Infused Balsamic Vinegar <br />□Other <br />hoyyj^\ / <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Vegetarian- <br />Based Soup Mixes <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/cd rh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />P(S Sngy1i <br />CjnCOSe.mz?Sr/ cacAa. h(rf~ p-e
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