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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CELEBRATION
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3034
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1600 - Food Program
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PR0541125
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BILLING_2021
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Entry Properties
Last modified
8/23/2021 2:36:58 PM
Creation date
8/23/2021 2:24:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0541125
PE
1608
FACILITY_ID
FA0023549
FACILITY_NAME
CRYSTAL ROSE CONFECTIONERY
STREET_NUMBER
3034
STREET_NAME
CELEBRATION
STREET_TYPE
DR
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
3034 CELEBRATION DR
P_LOCATION
02
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0043460 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0541125
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 # PT0025234 for Record ID # PR0541125 <br />Valid From 8/1/2021 To 7/31/2022 <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 />QUESADA, MARIA LUCRECIA <br />CRYSTAL ROSE CONFECTIONERY <br />Regulated Facility: <br />3034 CELEBRATION DR <br />LODI, CA 95242 <br />Facility ID <br />Account ID <br />Issued <br />FA0023549 <br />AR0043460 <br />8/23/2021 <br />CRYSTAL ROSE CONFECTIONERY <br />QUESADA, MARIA LUCRECIAATTN : Billing Address: <br />CRYSTAL ROSE CONFECTIONERY <br />3034 CELEBRATION DR <br />LODI, CA 95242 <br />End of reportcombined.rpt
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