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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DOROTHY
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2063
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1600 - Food Program
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PR0546590
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Entry Properties
Last modified
7/26/2022 2:14:02 PM
Creation date
4/2/2021 3:57:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546590
PE
1609
FACILITY_ID
FA0026429
FACILITY_NAME
NOT BY BREAD ALONE
STREET_NUMBER
2063
STREET_NAME
DOROTHY
STREET_TYPE
LN
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
2063 DOROTHY LN
P_LOCATION
03
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 /> PERMIT TO OPERATE - 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID# PT0027895 for Record ID#PR0546590 <br /> Valid From 3/17/2021 To 3/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause- <br /> PERMIT(s)Valid only for: MUNOZ, PRISCILLA <br /> DBA: PRISCILLA MUNOTS ARTISAN SOURDOUGH BREAD & BAKED SWEET <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: PRISCILLA MUNOZ'S ARTISAN SOURDOUGH BRE; Facility to FA0026429 <br /> 2063 DOROTHY LN Account ID AR0050281 <br /> TRACY, CA 95376 Issued 3/17/2021 <br /> Billing Address: ATTN : MUNOZ, PRISCILLA <br /> PRISCILLA MUNOZ'S ARTISAN SOURDOUGH BREAD & BAKED SWEETS <br /> 2063 DOROTHY LN <br /> TRACY, CA 95376 <br /> l024.rpt <br />
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