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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544773
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Entry Properties
Last modified
12/7/2022 4:15:19 PM
Creation date
8/30/2019 3:50:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544773
PE
1608
FACILITY_ID
FA0025450
FACILITY_NAME
QUEENS BAKERY 209
STREET_NUMBER
259
STREET_NAME
PESTANA
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
259 PESTANA AVE APT 3
P_LOCATION
04
QC Status
Approved
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SJGOV\jcastaneda
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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# PT0027047 for Record ID# PR0544773 <br /> Valid From 8/22/2019 To 8/31/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ESCOBAR OROZCO, DORA <br /> DBA: QUEENS BAKERY 209 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: QUEENS BAKERY 209 Facility ID FA0025450 <br /> 259 PESTANA AVE#3 Account ID AR0048027 <br /> MANTECA, CA 95336 Issued 8/22/2019 <br /> Billing Address: ATTN : ESCOBAR OROZCO, DORA <br /> QUEENS BAKERY 209 <br /> 259 PESTANA AVE APT 3 <br /> MANTECA, CA 95336 <br /> 7024.rpt <br />
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