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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOWELL
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1451
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1600 - Food Program
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PR0544988
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COMPLIANCE INFO
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Entry Properties
Last modified
3/31/2020 4:53:35 PM
Creation date
3/31/2020 4:51:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544988
PE
1608
FACILITY_ID
FA0025590
FACILITY_NAME
PURE FRESH DAILY
STREET_NUMBER
1451
Direction
W
STREET_NAME
LOWELL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1451 W LOWELL AVE
P_LOCATION
03
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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r. <br /> SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> ❑ Sweet Sorghum ❑ Roasted Coffee Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked F] Dried Hot Chocolate ❑ Other <br /> Donuts 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 <br /> Regulations hftp://www accessdata fda goy/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> PGS- rvx� _ Cao k.1-e S G,�'Sy l ray=z S <br /> r <br /> 2of5 <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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