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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SANTA INEZ
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655
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1600 - Food Program
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PR0545817
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BILLING_2021
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Entry Properties
Last modified
7/14/2021 3:19:30 PM
Creation date
7/14/2021 1:42:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0545817
PE
1608
FACILITY_ID
FA0025926
FACILITY_NAME
UNDERGROUND
STREET_NUMBER
655
Direction
N
STREET_NAME
SANTA INEZ
STREET_TYPE
DR
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
655 N SANTA INEZ DR
P_LOCATION
98
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0049112 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0545817
Tags
EHD - Public
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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1608 - CLASS A COTTAGE FOOD-DIRECT SALES <br />Permit ID # PT0027472 for Record ID # PR0545817 <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: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />ADDISON, SHARON <br />UNDERGROUND <br />Regulated Facility: <br />655 N SANTA INEZ DR <br />MOUNTAIN HOUSE, CA 95391 <br />Facility ID <br />Account ID <br />Issued <br />FA0025926 <br />AR0049112 <br />7/14/2021 <br />UNDERGROUND <br />ADDISON, SHARONATTN : Billing Address: <br />UNDERGROUND <br />PO BOX 603 <br />TRACY, CA 95378-0603 <br />End of reportcombined.rpt
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