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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FARGO
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1600 - Food Program
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PR0545991
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
8/5/2020 2:28:01 PM
Creation date
8/5/2020 2:27:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0545991
PE
1608
FACILITY_ID
FA0026001
FACILITY_NAME
CRUMBS BY NICOLE
STREET_NUMBER
249
Direction
E
STREET_NAME
FARGO
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
249 E FARGO ST
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SANAAOUIN <br />—COUNTY— <br />Environmental Health Department <br />❑ Sweet Sorghum ❑ 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 <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 http,lN 7w accassdata fda cov/scrii)ts/cdrhtcfdocs/cfCFR/CFRSearch cfm9CFRPart=150 <br />Food Descriptions: <br />A 11 <br />or i <br />/ <br />2 of <br />EHD 18.27 8/29117 CFO REG/PERMITTING FORM <br />
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