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COMPLIANCE INFO 2018-PRESENT
Environmental Health - Public
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MOKELUMNE RIVER
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1600 - Food Program
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PR0542487
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COMPLIANCE INFO 2018-PRESENT
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Last modified
1/17/2019 3:37:27 PM
Creation date
12/10/2018 8:37:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018-PRESENT
RECORD_ID
PR0542487
PE
1609
FACILITY_ID
FA0024421
FACILITY_NAME
MY NANA'S COOKIES
STREET_NUMBER
151
STREET_NAME
MOKELUMNE RIVER
STREET_TYPE
DR
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
151 MOKELUMNE RIVER DR
P_LOCATION
02
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS3\M\MOKELUMNE\151\PR0542487\COMPLIANCE INFO 2018-PRESENT.PDF
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EHD - Public
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MADE IN A HOME KITCHEN <br /> Permit#: 12345 Issued in San Joaquin County <br /> Sugar Cookie with Icing <br /> My Nana's Cookies <br /> 151 Mokelumne River Drive <br /> Lodi CA 95240 <br /> (209)482-2923 <br /> Sugar Cookie Ingredients: Flour(what flour, malted barley flour,niacin, <br /> reduced iron, thiamine mononitrate, riboflavin, folic acid),butter, sugar,eggs, <br /> vanilla,baking powder. <br /> Royal Icing Ingredients: Sugar, corn syrup (corn syrup, salt,vanilla extract), <br /> meringue powder(corn starch, egg whites, sugar, gum arabic, calcium sulphate, <br /> citric acid,potassium acid tartrate, artificial flavor, silicon dioxide), water, cream <br /> of tartar, glycerin,vanilla extract. <br /> Contains: Eggs, Wheat <br /> One Cookie <br />
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