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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PENFIELD
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1361
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1600 - Food Program
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PR0547400
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Entry Properties
Last modified
2/15/2024 3:20:25 PM
Creation date
3/1/2022 1:14:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547400
PE
1609
FACILITY_ID
FA0026946
FACILITY_NAME
FREEZE DRIED GOODIES
STREET_NUMBER
1361
STREET_NAME
PENFIELD
STREET_TYPE
CT
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
1361 PENFIELD CT
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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486.00 <br />486.00 <br />1/30/2024 <br />486.00 <br />SAN JpAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STO;;KTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0051528 <br />FA0026946 <br />1/3/2024 I <br />SANA, REY <br />FREEZE DRIED GOODIES <br />1361 PENFIELD CT <br />MANTECA, CA 95337 <br />RE: FREEZE DRIED GOODIES <br />1361 PENFIELD CT <br />MANTECA, CA 95337 <br />OWNER: SANA, REY <br />Date Health <br />Program Description Amount <br />Invoice # IN0390624 --- Date of Invoice: 12/20/2023 <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />12/20/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO547400 <br />Total for this Invoice <br />Payment Due Date <br />TOTAL DUE this Billing Period' <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INV&C OU <br />NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br />CFO PRODUCTS, CFO RENEWAL FORM HERE: <br />https://www.sjgov.org/department/envhealth/forms <br />You can return by mail to our department at the address on the top of your invoice or email completed forms and <br />confirmation of payment to: jcastaneda@sigov.org <mailto:jcastaneda@sigov.org> <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'httos://www.sictov.orci/department/envhealth/fees/online-fee-oavment' <br />Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% <br /> <br />Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpi End of report
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