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EHD Program Facility Records by Street Name
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2725
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1600 - Food Program
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PR0546492
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Entry Properties
Last modified
3/24/2021 3:25:28 PM
Creation date
3/9/2021 3:24:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546492
PE
1608
FACILITY_ID
FA0026355
FACILITY_NAME
KOOKIES BY SIERRA LUEPKE
STREET_NUMBER
2725
STREET_NAME
PAVILION
STREET_TYPE
PKWY
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2725 PAVILION PKWY APT 5316
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
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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,1R.E.H.S,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID#PT0027832 for Record ID#PR0546492 <br /> Valid From 2/4/2021 To 2/28/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LUEPKE, SIERRA <br /> DBA: KOOKIENOW BY SIERRA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KOOKIENOW BY SIERRA Facility ID FA0026355 <br /> 2725 PAVILION PKWY#5316 AccountID AR0050099 <br /> TRACY, CA 95304 Issued 2/4/2021 <br /> Billing Address: ATTN : LUEPKE, SIERRA <br /> KOOKIENOW BY SIERRA <br /> 2725 PAVILION PKWY APT 5316 <br /> TRACY, CA 95304 <br /> 7o24.roe <br />
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