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EHD Program Facility Records by Street Name
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MILL VALLEY
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1600 - Food Program
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PR0546256
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Entry Properties
Last modified
11/4/2020 8:49:05 AM
Creation date
11/4/2020 8:48:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546256
PE
1608
FACILITY_ID
FA0026190
FACILITY_NAME
SUGAR MAMA'S BAKE SHOP
STREET_NUMBER
459
Direction
N
STREET_NAME
MILL VALLEY
STREET_TYPE
DR
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
459 N MILL VALLEY DR
P_LOCATION
03
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Y 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 - 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID# PT0027666 for Record ID#PR0546256 <br /> Valid From 1017/2020 To 10/31/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: DAWSON, VICTORIA <br /> DBA: SUGAR MAMA'S BAKE SHOP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SUGAR MAMA'S BAKE SHOP Facility ID FA0026190 <br /> 459 N MILL VALLEY DR Account ID AR0049659 <br /> MOUNTAIN HOUSE, CA 95391 issued 10/9/2020 <br /> Billing Address: ATTN : DAWSON, VICTORIA <br /> SUGAR MAMA'S BAKE SHOP <br /> 459 N MILL VALLEY DR <br /> MOUNTAIN HOUSE, CA 95391 <br /> 7024.rpt <br />
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