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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DOVE
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1870
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1600 - Food Program
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PR0543782
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BILLING_2021
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Entry Properties
Last modified
8/23/2021 2:33:32 PM
Creation date
8/23/2021 2:24:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0543782
PE
1608
FACILITY_ID
FA0024892
FACILITY_NAME
MR DOUG'S COOKIES
STREET_NUMBER
1870
STREET_NAME
DOVE
STREET_TYPE
CT
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
1870 DOVE CT
P_LOCATION
02
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0046667 csjj4@yahoo.com;
EmailSent
8/23/2021 2:33:32 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0543782
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 # PT0026298 for Record ID # PR0543782 <br />Valid From 10/1/2021 To 9/30/2022 <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 />WILLIS, ALDA M <br />MR DOUG'S COOKIES <br />Regulated Facility: <br />1870 DOVE CT <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0024892 <br />AR0046667 <br />8/23/2021 <br />MR DOUG'S COOKIES <br />WILLIS, ALDA MATTN : Billing Address: <br />MR DOUG'S COOKIES <br />1870 DOVE CT <br />LODI, CA 95240 <br />End of reportcombined.rpt
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