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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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QUARTZ
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13530
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1600 - Food Program
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PR0544712
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COMPLIANCE INFO
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Entry Properties
Last modified
9/11/2019 2:28:45 PM
Creation date
9/11/2019 2:26:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544712
PE
1608
FACILITY_ID
FA0025412
FACILITY_NAME
CHRIS & HARI'S
STREET_NUMBER
13530
STREET_NAME
QUARTZ
STREET_TYPE
WAY
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
13530 QUARTZ WAY
P_LOCATION
07
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAA'(,IJ O A Q�(J i I N Environmental Health Department <br /> COUNTY— <br /> SweetNTY <br /> Sweet Sorghum El Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked ❑ Dried Hot Chocolate ❑ Other <br /> Donuts and Waffles <br /> Do not contain eggs,cream,or cream cheese V <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 N� <br /> Regulations http•//www accessdata fda gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> ce <br /> (sy e-,g�ra,--, ti:24r m ) "!; X11 lir'eW <br /> 2of5 <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />
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