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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GOTHAM
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1600 - Food Program
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PR0547254
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Entry Properties
Last modified
11/29/2023 6:34:48 PM
Creation date
2/2/2022 2:15:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547254
PE
1608
FACILITY_ID
FA0026829
FACILITY_NAME
143 MY CREATIONS
STREET_NUMBER
709
STREET_NAME
GOTHAM
STREET_TYPE
DR
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
709 GOTHAM DR
P_LOCATION
01
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 /> PERMIT TO OPERATE - PE 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID#PT0028309 for Record ID# PR0547254 <br /> Valid From 71/1/2022 To 10/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: ORK, NANCY <br /> DBA: 143 MY CREATIONS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 143 MY CREATIONS Facility ID FA0026829 <br /> 709 GOTHAM DR Accountio AR0051159 <br /> STOCKTON, CA 95210 Issued 10/6/2022 <br /> Billing Address: ATTN : ORK, NANCY <br /> 143 MY CREATIONS <br /> 709 GOTHAM DR <br /> STOCKTON, CA 95210 <br /> 7024.rpt End of repos <br />
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