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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SANTA INEZ
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655
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1600 - Food Program
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PR0545817
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Entry Properties
Last modified
4/8/2021 3:37:07 PM
Creation date
6/5/2020 9:01:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0545817
PE
1608
FACILITY_ID
FA0025926
FACILITY_NAME
UNDERGROUND
STREET_NUMBER
655
Direction
N
STREET_NAME
SANTA INEZ
STREET_TYPE
DR
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
655 N SANTA INEZ DR
P_LOCATION
98
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. a 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#PT0027472 for Record ID# PR0545817 <br /> Valid From 5/21/2020 To 5/31/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ADDISON, SHARON <br /> DBA: UNDERGROUND <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: <br /> UNDERGROUND Facility ID FA0025926 <br /> 655 N SANTA INEZ DR Account ID AR0049112 <br /> MOUNTAIN HOUSE, CA 95391 Issued 5/21/2020 <br /> Billing Address: ATTN : ADDISON, SHARON <br /> UNDERGROUND <br /> 655 N SANTA I N EZ DR <br /> MOUNTAIN HOUSE, CA 95391 <br /> 7o2a.rpc <br />
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