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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MENDOCINO
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926
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1600 - Food Program
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PR0546171
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BILLING_2021
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Entry Properties
Last modified
8/17/2021 10:07:13 AM
Creation date
8/17/2021 9:52:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0546171
PE
1608
FACILITY_ID
FA0026123
FACILITY_NAME
ZELPAMORE
STREET_NUMBER
926
STREET_NAME
MENDOCINO
STREET_TYPE
CT
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
926 MENDOCINO CT
P_LOCATION
07
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0049524 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0546171
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 - PE 1608- CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID# PT0027618 for Record ID # PR0546171 <br /> Valid From 9/1/2021 To 8/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DELA CRUZ, MA LIEZL <br /> DBA: ZELPAMORE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ZELPAMORE Facility ID FA0026123 <br /> 926 MENDOCINO CT Account ID AR0049524 <br /> LATHROP, CA 95330 Issued 8/17/2021 <br /> Billing Address: ATTN : DELA CRUZ, MA LIEZL <br /> ZELPAMORE <br /> 926 MENDOCINO CT <br /> LATHROP, CA 95330 <br /> combined.rpt End of report <br />
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