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EHD Program Facility Records by Street Name
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PALERMO
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1600 - Food Program
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PR0547084
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Entry Properties
Last modified
10/28/2021 11:14:39 AM
Creation date
10/28/2021 11:13:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547084
PE
1608
FACILITY_ID
FA0026699
FACILITY_NAME
KAI'S KITCHEN 808
STREET_NUMBER
1263
Direction
S
STREET_NAME
PALERMO
STREET_TYPE
LN
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
1263 S PALERMO LN
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\jcastaneda
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 # PT0028187 for Record ID # PR0547084 <br />Valid From 7/29/2021 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: GARCIA, KAINOA <br />DBA: KAI'S KITCHEN 808 <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: KAI'S KITCHEN 808 <br />1263 S PALERMO LN <br />MOUNTAIN HOUSE, CA 95391 <br />eillingAddress: ATTN : GARCIA, KAINOA <br />KAI'S KITCHEN 808 <br />1263 S PALERMO LN <br />MOUNTAIN HOUSE, CA 95391 <br />7024,rpt <br />Facility ID FA0026699 <br />AcccuntlD AR0050861 <br />Issued 8/2/2021 <br />End of report <br />
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