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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546365
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Entry Properties
Last modified
12/29/2020 11:32:37 AM
Creation date
12/29/2020 11:28:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546365
PE
1624
FACILITY_ID
FA0026275
FACILITY_NAME
KLEAN EATZ MARKET & BAKERY
STREET_NUMBER
222
Direction
W
STREET_NAME
RIVER
STREET_TYPE
RD
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
222 W RIVER RD
P_LOCATION
05
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Haze lton'Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1624 RESTAURANT/BAR 21-50 SEATS <br /> Permit ID#PT0027740 for Record ID# PR0546365 <br /> Valid.From 11/20/2020 To 11/30/2021 <br /> , <br /> -PERMTPS TO OPERATE are NOT TRANSFERABLE . <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HENDERSON, KRISTINE <br /> DBA: KLEAN EATZ MARKET& BAKERY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KLEAN EATZ MARKET& BAKERY Facility ID FA0026276 <br /> 222 W RIVER RD AccountiD AR0049874 <br /> RIPON, CA 95366 issued 12/4/2020 <br /> Billing Address: ATTN : HENDERSON, KRISTINE - <br /> KLEAN EATZ MARKET& BAKERY <br /> 279 SUN VALLEY CT <br /> RIPON, CA 95366 <br /> 7024.rpt <br />
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