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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILLOW PARK
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1648
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1600 - Food Program
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PR0547160
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BILLING_2021
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Entry Properties
Last modified
9/3/2021 3:23:21 PM
Creation date
9/3/2021 3:21:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0547160
PE
1608
FACILITY_ID
FA0026759
FACILITY_NAME
DWC POPP'N SNACKS
STREET_NUMBER
1648
STREET_NAME
WILLOW PARK
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
1648 WILLOW PARK WAY
P_LOCATION
01
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0051015 dwcpoppinsnacks@gmail.com;
EmailSent
9/3/2021 3:23:21 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547160
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 # PT0028242 for Record ID # PR0547160 <br />Valid From 8/30/2021 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: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />DAVIS, DEREKIA <br />DWC POPP'N SNACKS <br />Regulated Facility: <br />1648 WILLOW PARK WAY <br />STOCKTON, CA 95206 <br />Facility ID <br />Account ID <br />Issued <br />FA0026759 <br />AR0051015 <br />9/3/2021 <br />DWC POPP'N SNACKS <br />DAVIS, DEREKIAATTN : Billing Address: <br />DWC POPP'N SNACKS <br />1648 WILLOW PARK WAY <br />STOCKTON, CA 95206 <br />End of report7024.rpt
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