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EHD Program Facility Records by Street Name
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FREDERICK
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23346
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1600 - Food Program
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PR0547290
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Entry Properties
Last modified
2/15/2024 9:55:18 AM
Creation date
11/30/2021 2:43:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547290
PE
1608
FACILITY_ID
FA0026860
FACILITY_NAME
MR WINTEAS
STREET_NUMBER
23346
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
RD
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
23346 S FREDERICK RD
P_LOCATION
05
QC Status
Approved
Scanner
SJGOV\ymoreno
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 /> PERbIIT TO OPERATE - PE 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID# PT0028342 for Record ID#PR0547290 <br /> Valid From 11/17/2021 To 11/30/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ELLIOTT, CLINT W <br /> DBA: MR WINTEAS <br /> THIS FORM MUST aE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MR WINTEAS Faculty ID FA0026860 <br /> 23346 S FREDERICK RD Account to AR0051298 <br /> RIPON, CA 95366 Issued 11/17/2021 <br /> Billing Address: ATTN : ELLIOTT, CLINT <br /> MR WINTEAS <br /> 23346 S FREDERICK RD <br /> RIPON, CA 95366 <br /> 7024 not <br /> End of/apart <br />
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