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1600 - Food Program
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PR0547104
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Entry Properties
Last modified
10/28/2021 3:32:18 PM
Creation date
10/28/2021 3:29:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547104
PE
1608
FACILITY_ID
FA0026713
FACILITY_NAME
BIG MAMA DEE'S SOUL FOOD & TREATS
STREET_NUMBER
1670
STREET_NAME
SICILY
STREET_TYPE
ST
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
1670 SICILY ST
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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I <br />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 # PT0028200 for Record ID # PR0547104 <br />Valid From 8/5/2021 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: POWELL, DENISE <br />DBA: BIG MAMA DEE'S SOUL FOOD & TREATS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BIG MAMA DEE'S SOUL FOOD & TREATS <br />Facility ID FA0026713 <br />1670 SICILY ST <br />Account to AR0050893 <br />STOCKTON, CA 95206 <br />issued 8/11/2021 <br />Billing Address: ATTN : POWELL, DENISE <br />BIG MAMA DEE'S SOUL FOOD & TREATS <br />1670 SICILY ST <br />STOCKTON, CA 95206 <br />7024.rpt <br />End of report <br />
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