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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547731
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Entry Properties
Last modified
8/24/2023 3:19:01 PM
Creation date
6/9/2022 1:57:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547731
PE
1609
FACILITY_ID
FA0027185
FACILITY_NAME
CAFECALLI ROASTER
STREET_NUMBER
410
STREET_NAME
PALM
STREET_TYPE
CIR
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
410 PALM CIR
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> <br /> <br /> Return This INVOICE with Your PAYMENT Facility ID FA0027185 <br /> Date Printed 5/20/2022 <br /> VALADEZ, LISSETTE RE : CAFECALLI ROASTER <br /> CAFECALLI ROASTER 410 PALM CIR <br /> 410 PALM CIR TRACY, CA 95376 <br /> TRACY, CA 95376 <br /> OWNER : VALADEZ, LISSETTE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0367038---Date of Invoice: 5/20/2022 11111 IN 111111111111111 IN <br /> 5/20/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0547731 $ .00 <br /> Total for this Invoice $ 310.0 <br /> 6/30/2022 <br /> TOTAL DUE this Billing Period 310.00 <br /> Important! Cottage Permits require application with every renewal annually. Please downlo d and fll out th <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sigov.org/department/envhealth/forms <br /> 5 N I RE EEID <br /> Vu Would you like Invoices electronically or need to update the email address for this account? Fill out the <br /> form below with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'hftos://www.sigoy.ora/department/envhealthlfeeslonline-fee-oavment' <br /> Penalties will be added to ail 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 100/ 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.rpt find of repos <br />
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