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EHD Program Facility Records by Street Name
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MAGNOLIA
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619
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1600 - Food Program
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PR0543396
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Entry Properties
Last modified
7/1/2021 2:44:46 PM
Creation date
7/1/2021 2:43:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0543396
PE
1608
FACILITY_ID
FA0024636
FACILITY_NAME
SUGA RUSHD
STREET_NUMBER
619
Direction
W
STREET_NAME
MAGNOLIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
619 W MAGNOLIA ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton Aye • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kong, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br />Permit ID # P10026123 for Record ID # PR0543396 <br />Valid From 6/1/2021 To 5/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: DAVALOS, GYNAE <br />DBA! SUGARUSHD <br />THIS FORM MUST BE DISPLAYEDDONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: SUGA RUSHD <br /> Facility ID FA0024636 <br />619 W MAGNOLIA ST <br /> Account ID AR0046050 <br />STOCKTON, CA 95203 <br /> <br />Issued 5/21/2021 <br />Billing Address <br />7024.rpt <br />ATTN : DAVALOS, GYNAE <br />SUGA RUSHD <br />10940 WILD BERRY LN <br />STOCKTON, CA 95209 <br />End of .report
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