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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CANCION
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1600 - Food Program
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PR0538891
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
5/6/2021 3:31:54 PM
Creation date
4/21/2021 4:30:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0538891
PE
1609
FACILITY_ID
FA0022345
FACILITY_NAME
KAY'S CREATIONS
STREET_NUMBER
535
Direction
W
STREET_NAME
CANCION
STREET_TYPE
CT
City
MOUNTAIN HOUSE
Zip
95391
APN
25442004
CURRENT_STATUS
01
SITE_LOCATION
535 W CANCION CT
P_LOCATION
99
P_DISTRICT
005
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 a Stockton, CA 95205-6232 a Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1609 CLASS B COTTAGE FOOD -INDIRECT SALES <br />Permit ID # PT0024030 for Record ID # PR0538891 <br />Valid From 6/1/2021 To 5/31/2022 <br />PERMITS TO OPERATE we NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: TABAR, KAREN R <br />DBA KAY'S CREATIONS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: KAY'S CREATIONS <br />Facility ID FA0022345 <br />535 W CANCION CT <br />Account ID AR0040870 <br />MOUNTAIN HOUSE, CA 95391 <br />Issued 4/20/2021 <br />Billing Address: ATTN : TABAR, KAREN R <br />KAY'S CREATIONS <br />535 W CANCION CT <br />MOUNTAIN HOUSE, CA 95391 <br />7024.rpt <br />End of report <br />G <br />
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