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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FRED RUSSO
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5868
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1600 - Food Program
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PR0547274
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Entry Properties
Last modified
1/18/2023 7:47:32 AM
Creation date
2/17/2022 4:10:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547274
PE
1608
FACILITY_ID
FA0026845
FACILITY_NAME
KELLY'S KONFECTIONS
STREET_NUMBER
5868
STREET_NAME
FRED RUSSO
STREET_TYPE
DR
City
STOCKTON
Zip
95212
CURRENT_STATUS
01
SITE_LOCATION
5868 FRED RUSSO DR
P_LOCATION
01
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#PT0028326 for Record ID#PR0547274 <br /> Valid From 11/1/2022 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: PEN, KELLY <br /> DBA PEN MAIALAY LLC SWEET AND SOUR <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KELLY'S KONFECTIONS Facility iD FA0026845 <br /> 5868 FRED RUSSO DR Account ID AR0051243 <br /> STOCKTON, CA 95212 issued 11/17/2022 <br /> Billing Address: ATTN : PEN, KELLY <br /> KELLY'S KONFECTIONS <br /> 5868 FRED RUSSO DR <br /> STOCKTON, CA 95212 <br /> 7024.Mt <br /> i <br />
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