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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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PELTIER
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1991
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1600 - Food Program
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PR0538083
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COMPLIANCE INFO_2021
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Last modified
12/16/2021 2:59:14 PM
Creation date
12/16/2021 2:58:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0538083
PE
1608
FACILITY_ID
FA0021998
FACILITY_NAME
KIM DUKES OLD VINE BAKESHOP
STREET_NUMBER
1991
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00318010
CURRENT_STATUS
01
SITE_LOCATION
1991 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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'Vo L <br />MADE IN A HOME KITCHEN <br />Permit # PT0023514 <br />Issued in: San Joaquin County <br />Chocolate Chip Cookies <br />Kim Duke <br />1991 E. Peltier Rd. <br />Acampo, CA 95220 <br />Ingredients: Enriched flour ( Wheat flour, niacin, reduced iron, thiamine, mononitrate, riboflavin, folic acid), <br />butter (milk, salt), sugar, eggs, salt, pure vanilla extract, baking soda, chocolate chips (sugar, chocolate <br />liquor, cocoa butterfat (milk) <br />Contains: Wheat, eggs, milk, soy <br />Net Wt. 3 oz. (85.049g) <br />MADE IN A HOME KITCHEN <br />Permit # PT0023514 <br />Issued in: San Joaquin County <br />Vanilla Crescent Cookies <br />Kim Duke <br />1991 E. Peltier Rd. <br />Acampo, CA 95220 <br />Ingredients: Enriched flour ( Wheat flour, niacin, reduced iron, thiamine, mononitrate, riboflavin, folic acid), <br />butter (milk, salt), sugar, vanilla bean <br />Contains: Wheat, milk, soy <br />Net Wt. 3 oz. (85.0498) <br />
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