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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EASTLAKE
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1040
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1600 - Food Program
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PR0546611
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BILLING_2022
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Entry Properties
Last modified
3/9/2022 8:46:22 AM
Creation date
3/9/2022 8:22:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0546611
PE
1609
FACILITY_ID
FA0026449
FACILITY_NAME
CALIBRATE COFFEE ROASTERS
STREET_NUMBER
1040
STREET_NAME
EASTLAKE
STREET_TYPE
CIR
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
1040 EASTLAKE CIR
P_LOCATION
03
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0050314 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0546611
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 1609- CLASS B COTTAGE FOOD-INDIRECT SALES <br /> Permit ID # PT0027909 for Record ID# PR0546611 <br /> Valid From 3/1/2022 To 2/28/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: WARD, JEREMIAH <br /> DBA: CALIBRATE COFFEE ROASTERS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CALIBRATE COFFEE ROASTERS Facility ID FA0026449 <br /> 1040 EASTLAKE CIR Account ID AR0050314 <br /> TRACY, CA 95304 Issued 3/9/2022 <br /> Billing Address: ATTN : WARD, JEREMIAH <br /> CALIBRATE COFFEE ROASTERS <br /> 1040 EASTLAKE CIR <br /> TRACY, CA 95304 <br /> combined.rpt End of report <br />
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