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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VECINDAD
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1600 - Food Program
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PR0546528
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
2/23/2021 3:03:56 PM
Creation date
2/23/2021 2:58:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546528
PE
1608
FACILITY_ID
FA0026385
FACILITY_NAME
MADE BY BUNNY
STREET_NUMBER
744
Direction
S
STREET_NAME
VECINDAD
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
744 S VECINDAD
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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(A N pJ O A Q] �IN <br /> Environmental Health Department <br /> �.7 COUNTY— <br /> E] <br /> O U N T Yt„� <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <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:/ANww.accessdata.fda.caov/scriptstcdrh/cfdocs/cfCFR/CFRSearch_cfm?CFRPart=150 <br /> Food Descriptions: 1'Y111V1 b-ea o a/61 G - <br /> ►nc� 00( k <br /> f�C� VVI, <br /> I �,:,I� 1M+�v►G d1 � � �n�I �'a�'m-,��- ,Mrl� � 4����`� � �'z,Sn <br /> Lz <br /> 2of5 <br /> EHD 16-27 6129117 CFO REGlPERMITTING FORM <br />
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