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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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6571
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1600 - Food Program
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PR0546353
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Entry Properties
Last modified
11/19/2024 3:47:06 PM
Creation date
12/29/2020 12:50:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546353
PE
1608
FACILITY_ID
FA0026270
FACILITY_NAME
GOT FANCY!
STREET_NUMBER
6571
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
6571 E HWY 12
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
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 /> PERNUT TO OPERATE - 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID# PT0027731 for Record ID# PR0546353 <br /> Valid From 11/24/2020 To 11/30/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: NIES, CHRISTINE <br /> DBA: GOT FANCY! <br /> THIS FORM MUST BE DISPLAYEDCONSPICUOUSLY ON THE PREMISES - <br /> Regulated Facility: GOT FANCY! - - Facility ID pg0026270 <br /> 6571 E HWY 12 Account AR0049859 <br /> LODI, CA 95240 issued 11/24/2020 <br /> Billing Address: ATTN : NIES, CHRISTINE - - <br /> GOT FANCY! <br /> 6571 E HWY 12 <br /> LODI, CA 95240 <br /> 7024.rpt <br />
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