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COMPLIANCE INFO_2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541615
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COMPLIANCE INFO_2017
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Entry Properties
Last modified
11/19/2024 10:19:32 AM
Creation date
4/13/2020 1:59:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017
RECORD_ID
PR0541615
PE
1633
FACILITY_ID
FA0023854
FACILITY_NAME
GOLDEN GLAZE BAKERY
STREET_NUMBER
204
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
204 W ELEVENTH ST
P_LOCATION
03
QC Status
Approved
Scanner
SShih
Tags
EHD - Public
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SAN JOAQUEN %:OUNTY ENVIRONMENTAL HEAL4EPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda lbrkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1633 -FOOD VEHICLE/CART (LTD FOOD PREP)#S174382 <br /> Permit ID # PT0025506 for Record ID # PR0541615 <br /> VEHICLE LIC # CART <br /> Valid From 2/6/2017 To 12/31/2017 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LARA, CARLOS <br /> DBA: GOLDEN GLAZE BAKERY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: GOLDEN GLAZE BAKERY Facility ID FA0023854 <br /> 340 W GRANT LINE RD Account ID AR0044205 <br /> TRACY, CA 95376 Issued 2/6/2017 <br /> Billing Address: ATTN : LARA, CARLOS <br /> GOLDEN GLAZE BAKERY <br /> 205 W 21 ST ST <br /> TRACY, CA 95376 <br /> 7ois.rpt <br />
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