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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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19690
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1600 - Food Program
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PR0546116
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Entry Properties
Last modified
11/19/2024 1:54:44 PM
Creation date
9/4/2020 2:02:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546116
PE
1608
FACILITY_ID
FA0026082
FACILITY_NAME
ON YOUR WAY MINI DONUTS
STREET_NUMBER
19690
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
CURRENT_STATUS
02
SITE_LOCATION
19690 N HWY 99 #170
P_LOCATION
99
QC Status
Approved
Scanner
SJGOV\ymoreno
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 />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1608 - CLASS A COTTAGE FOOD -DIRECT SALES <br />Permit ID # PT0027594 for Record ID # PR0546116 <br />Valid From 9/1/2021 To 8/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: MOORE, KRISTINA <br />DBA: ON YOUR WAY MINI DONUTS <br />THIS FORM MUST BF. DISPLAYED CONSPICUOUSLY ON THE PREMISF,S <br />Regulated Facility: ON YOUR WAY MINI DONUTS <br />19690 N HWY 99 #170 <br />ACAMPO, CA 95220 <br />Billing Address: ATTN : MOORE, KRISTINA <br />ON YOUR WAY MINI DONUTS <br />19690 N HWY 99 #170 <br />ACAMPO, CA 95220 <br />Facility ID FA0026082 <br />AccountlD AR0049410 <br />Issued 8/11/2021 <br />combined.rpt End of report <br />
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