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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SALTILLO
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136
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1600 - Food Program
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PR2500256
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
3/12/2026 11:05:17 AM
Creation date
3/12/2026 9:12:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2500256
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0003055
FACILITY_NAME
THERESA'S GLUTEN-FREE BAKERY
STREET_NUMBER
136
Direction
W
STREET_NAME
SALTILLO
STREET_TYPE
LN
City
STOCKTON
Zip
95391
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
136 W SALTILLO LN MOUNTAIN HOUSE 95391
Tags
EHD - Public
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Dried or Dehydrated pQ/dried Vegetarian-□□Vegetable and Potato ChipsBased Soup MixesVegetables <br />□□Chocolate Covered Nonperishable Food <br />Fruit Infused Balsamic Vinegar <br />Me. <br />) <br />Food Descriptions:4 <br />1 <br />j?I <br />2 CFO REG/PERMITTING FORMEHD 16-27 6/29/2023 <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Debuts and Waffles <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 />r-p/'Roasted Coffee <br />(Beans/Grounds) <br />[^f^Dried Hot Chocolate □ <br />Other <br />Ctacwt / Parsec t. <br />Do not contain eggs, cream, or cream cneese <br />eke ptoiry..loom <br />VazxY (kK z^ x________
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