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COMPLIANCE INFO_2024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CUSHION CAP
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1957
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1600 - Food Program
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PR2400206
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
3/14/2025 11:15:15 AM
Creation date
3/14/2025 11:14:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2400206
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0000633
FACILITY_NAME
SMYTH FAMILY ENTERPRISE
STREET_NUMBER
1957
STREET_NAME
CUSHION CAP
STREET_TYPE
DR
City
STOCKTON
Zip
95206
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1957 CUSHION CAP DR STOCKTON 95206
Tags
EHD - Public
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Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />0 Fried or Baked <br />Donuts and Waffles <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Hot Chocolate <br />Vegetable and Potato Chips <br />[11 Chocolate Covered Nonperishable Food <br />Fruit Infused Balsamic Vinegar <br />I=1 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.doy/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />'Cul) c,u3(\ Euq cy <br />PoticLA SurAckA <br />Vkat (.11.1p, " k. iyat.. <br />a- ArSç S ckAQ-ci <br />3) V \-SP ev\Aack <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM
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