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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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3600 - Recreational Health Program
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PR0546920
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
6/24/2021 10:17:32 AM
Creation date
6/24/2021 9:53:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546920
PE
1608
FACILITY_ID
FA0026592
FACILITY_NAME
KS COOKIE CO
STREET_NUMBER
26
Direction
W
STREET_NAME
MAPLE
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
26 W MAPLE ST
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SA NJ U A Q U IN Environmental Health Department <br /> —COUNTY— <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup El (Beans/Grounds) F-1Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> El Donuts and Waffles ❑ Dried Hot Chocolate F-1Other <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 htto-//www.accessdata-fda.gov/scripWcdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: r VINM G <br /> I I- Rkgxre - Iakr I t x1f r suany <br /> VCLN"CA Lrrac-� IAnilla eic-{-coc+ <br /> COro <an <br /> —mc, I oater <br /> tUA6�.>nalr <br /> na 1PQLQ+r <br /> 2 of <br /> EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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