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EHD Program Facility Records by Street Name
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SISKIYOU
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10652
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1600 - Food Program
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PR0544036
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Entry Properties
Last modified
3/14/2019 9:10:32 AM
Creation date
2/12/2019 4:05:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544036
PE
1608
FACILITY_ID
FA0025042
FACILITY_NAME
CASA DE LA MIEL
STREET_NUMBER
10652
STREET_NAME
SISKIYOU
STREET_TYPE
LN
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
10652 SISKIYOU LN
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID# PT0026424 for Record ID# PR0544036 <br /> Valid From 1/10/2019 To 1/31/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JIMENEZ NERIA, MARIA CRISTINA <br /> DBA: CASA DE LA MIEL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CASA DE LA MIEL Facility ID FA0025042 <br /> 10652 SISKIYOU LN Account ID AR0047036 <br /> STOCKTON, CA 95209 Issued 1/10/2019 <br /> Billing Address: ATTN : JIMENEZ NERIA, MARIA CRISTINA <br /> CASA DE LA MIEL <br /> 10652 SISKIYOU LN <br /> STOCKTON, CA 95209 <br /> 7024.rpt <br />
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