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COMPLIANCE INFO_2023
Environmental Health - Public
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SAN PABLO
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1600 - Food Program
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PR0548832
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COMPLIANCE INFO_2023
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Last modified
3/6/2024 1:33:09 PM
Creation date
12/18/2023 3:21:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548832
PE
1608
FACILITY_ID
FA0027979
FACILITY_NAME
FARGO'S DOUGH
STREET_NUMBER
8212
STREET_NAME
SAN PABLO
STREET_TYPE
WAY
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
8212 SAN PABLO WAY
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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❑ Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> Sweet Sorghum Roasted Coffee <br /> ❑ Syrup El (Beans/Grounds) ElChocolate Covered Nonperishable Food <br /> Fried or Baked <br /> ❑ Donuts andWafffles�❑ Dried Hot Chocolate ElFruit Infused Balsamic Vinegar <br /> d 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 Regulations <br /> http://www.accessdata.fda.gov/scripts/cd rh/cfdocs/cfCF R/CFRSearch.cfm?CF RPart=150 <br /> Food Descriptions: <br /> _ lz/23 <br /> �P <br /> EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM <br />
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