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EHD Program Facility Records by Street Name
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2650
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1600 - Food Program
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PR0547869
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Entry Properties
Last modified
11/1/2022 9:43:59 AM
Creation date
11/1/2022 9:43:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547869
PE
1608
FACILITY_ID
FA0027286
FACILITY_NAME
KEL'S CUSTOM COOKIES
STREET_NUMBER
2650
STREET_NAME
BONIFACIO
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
2650 BONIFACIO DR
P_LOCATION
03
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 />PERMIT TO OPERATE - PE 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />Permit ID # PT0028782 for Record ID # PR0547869 <br />Valid From 7/27/2022 To 7/31/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: DIMARARIS, KELLY <br />DBA: KEL'S CUSTOM COOKIES <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: KEL'S CUSTOM COOKIES Facility ID FA0027286 <br />2650 BONIFACIO DR A=untlD AR0052465 <br />TRACY, CA 95376 Issued 7/28/2022 <br />Billing Address: ATTN: DIMATARIS, KELLY <br />KEL'S CUSTOM COOKIES <br />2650 BONIFACIO DR <br />TRACY, CA 95376 <br />7024.rpt <br />End of e,.l <br />
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