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EHD Program Facility Records by Street Name
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GOLDEN POND
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1600 - Food Program
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PR0547456
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Entry Properties
Last modified
2/15/2024 9:47:38 AM
Creation date
2/17/2022 12:41:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547456
PE
1609
FACILITY_ID
FA0026982
FACILITY_NAME
FERMENT & GRIND
STREET_NUMBER
894
STREET_NAME
GOLDEN POND
STREET_TYPE
DR
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
894 GOLDEN POND DR
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton 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 1609 CLASS B COTTAGE FOOD-INDIRECT SALES <br />Permit ID # PT0028468 for Record ID # PR0547456 <br />Valid From 2/1/2024 To 1/31/2025 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: KELLEY, JOSEPH <br />DBA: FERMENT & GRIND <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: FERMENT & GRIND <br /> <br />Facility ID FA0026982 <br />894 GOLDEN POND DR <br /> <br />Account ID AR0051622 <br />MANTECA, CA 95336 <br /> <br />Issued 1/17/2024 <br />Billing Address: <br />7024.rpt <br />ATTN : KELLEY, JOSEPH <br />FERMENT & GRIND <br />894 GOLDEN POND DR <br />MANTECA, CA 95336 <br />End of report
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