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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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SCHAFFER
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546
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1600 - Food Program
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PR0547237
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/3/2021 2:53:06 PM
Creation date
11/3/2021 2:51:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0547237
PE
1608
FACILITY_ID
FA0026814
FACILITY_NAME
Z BAKES
STREET_NUMBER
546
STREET_NAME
SCHAFFER
STREET_TYPE
DR
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
546 SCHAFFER DR
P_LOCATION
02
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SANAOAQUIN <br />COUNTY -- <br />Sweet Sorghum <br />El Syrup <br />El Donuts <br />or Baked <br />Donuts and Waffles <br />meq( Roasted Coffee <br />" (Beans/Grounds) <br />❑ Dried Hot Chocolate <br />Environmental Health Department <br />XChocolate Covered Nonperishable Food <br />❑ Other. <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'.f <br />Regulations hfti)7/twww.accessdata.fda.gov/scripts/edrh/ddocs/cfCFRICFRSe rch.cfm?CFRPart=l50 <br />Food Descriptions:a <br />1i00 F�S.� Ytt� l 101a 1I I ♦ vVY > ' uJ - uvr c <br />Co-r&e2 9Yuv� X125/Po,�e�r,�vk `�cYeam l ic1`n �nai <br />CoY�ru\ tCl no ZggS� cY-ealn oY c�earn c\nee5e , a ncl a dwL <br />Sk`ce seI koV\h2_ Some 1,a A eoo \es w►1� c�h{aih a <br />bawl l yft -e. co6*NQ Z7. r\ctk>e <br />k\r+e �ayn MY5e1� �'1'c '\s �S\na11w �l JaYY1 r Z `NeO -- *r <br />ISS -ko r-edvc2, /Concehk'ct�' k`�ln 'IV\ Vot 6yev- 0. <br />bv,Y`fleY- MY Savns A`Ce. `(\-e\Ae`r 'S nAeA Loi-Fh my) vl Ander <br />o� o��e`� '\Yl�iCe�leYlE- OY1C� lone `yam is Cooed Aper <br />'Cec1\ACk1oV1 , -1 cAov-e.. ik '1Y\ a �00A A,Yaae 7(eeZ�Cy- SCk-F2 <br />OOY <br />+i <br />h- CoV)Ao1lV)ev- <br />oVnd <br />kYee2e- ovylD Z <br />heed iA- <br />�ar <br />a <br />)oalA <br />0 O <br />as a ccnkle or <br />cake_ S will <br />g ��c�eg Svc�r\ as 5:k1i—r 6w(\amem °�l�h �� doveS,'F <br />�\v <br />2of5 <br />EHD 16-27 6/29/17 CFO REG/PERMITTING FORM <br />
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