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COMPLIANCE INFO_2018-2019
Environmental Health - Public
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1600 - Food Program
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PR0542593
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COMPLIANCE INFO_2018-2019
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Entry Properties
Last modified
11/17/2020 2:15:18 PM
Creation date
3/4/2019 2:56:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018-2019
RECORD_ID
PR0542593
PE
1609
FACILITY_ID
FA0024497
FACILITY_NAME
SWEET CREATIONZ
STREET_NUMBER
1864
STREET_NAME
WATER LILY
STREET_TYPE
DR
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
1864 WATER LILY DR
P_LOCATION
07
QC Status
Approved
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SJGOV\wng
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EHD - Public
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2-Feb-2018 12:41 From Abigail Albarillo. Phone #5105868868 FaxZero.com p.3 <br /> RECEIVED <br /> FEB 0 2 2018 <br /> ENWR0 <br /> EIVTAL <br /> Dried or Dehydrated ❑ Dried Vegetarian- n Vegetable and Potato Chips PE��SER���TM <br /> Vegetables Based Soup Mixes <br /> Ei Sweet Sorghum Roasted Coffee <br /> El Syrup (Beans/Grounds) Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Donu,ts and Waffles Dried Hot Chocolate Fruit Infused Balsamic Vinegar <br /> ❑ Other <br /> Oo not contain eggs,cream,oroream cheese <br /> If preparing jams,jellies or fruitbuners,include a list of ingredients(attach separate page if needed). These ems <br /> must comply with standardsdescribedin Part 150 of Title 21 of the Code of Federal Regulations <br /> httplfwww accesadata fda ciovfsc i)Wcdrhic(docs/cfCFR/CFRSearch d m!CFRPort=l 50 <br /> Food Descriptions: <br /> sumer COON6..S <br /> Def rte- �re� MaCQrOr1S <br /> Urvoc(Aalt UVCOf d N62.f_,t' S <br /> EMO 16-27213/17 2 CFO REG/PFRMrMNG FORM <br /> Received Time Feb. 1, 2018 8:34PM No, 2980 <br />
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