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COMPLIANCE INFO_2021
Environmental Health - Public
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1600 - Food Program
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PR0547242
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/16/2021 4:24:01 PM
Creation date
11/9/2021 1:38:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0547242
PE
1608
FACILITY_ID
FA0026818
FACILITY_NAME
ALICAT COOKIE CO
STREET_NUMBER
411
STREET_NAME
ACACIA
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
411 ACACIA ST APT D
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN10 A Q U I N Environmental Health Department <br /> COUNTY— <br /> Sweet <br /> OUNTYSweet Sorghum ❑ Roasted Coffee n Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> Fried or Baked <br /> El Donuts and Waffles ❑ Dried Hot Chocolate ❑ 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 <br /> Regulations http'//www accessdata fda aov/scriots/cdrh/cfdocs/cfCFR/CFRSearch cfm?CFRPart=150 <br /> Food Descriptions: <br /> V�gllln CVf- (00)-k6 Mao WFI.4t unblemw d ftn »I <br /> s a ,wrf bukWJ acct anexDD2c -� cir eMu.UOAS FUr <br /> i���rnl Iri��a iMrAde ��i A�(IA(Ar 0ey <br /> a o r rorel fyT�a emIA LCVu f(ava- <br /> 2 of <br /> EHD 16-276/29/17 CFO REG/PERMITTING FORM <br />
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