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COMPLIANCE INFO_2026
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FIRE ISLAND
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10739
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1600 - Food Program
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PR2600215
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COMPLIANCE INFO_2026
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Entry Properties
Last modified
5/20/2026 4:42:33 PM
Creation date
5/20/2026 9:06:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2026
RECORD_ID
PR2600215
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0008069
FACILITY_NAME
MOON GARDEN BAKERY BY JULIE DICKINSON
STREET_NUMBER
10739
STREET_NAME
FIRE ISLAND
STREET_TYPE
CIR
City
STOCKTON
Zip
95209
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
10739 FIRE ISLAND CIR STOCKTON 95209
Tags
EHD - Public
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□□Vegetable and Potato Chips <br />□□□Chocolate Covered Non perishable Food <br />□□□Fruit Infused Balsamic VinegarDried Hot Chocolate <br />□Other <br />CFO REG/PERMITTING FORM2EHO 16-27 6/29/2023 <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 />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 />Food Descriptions: <br />% Fr Za_ zl ■
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