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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ESPLANADE
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1600 - Food Program
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PR0547965
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Entry Properties
Last modified
12/7/2022 4:40:07 PM
Creation date
12/7/2022 4:39:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547965
PE
1609
FACILITY_ID
FA0027344
FACILITY_NAME
LUXOR BAKERY
STREET_NUMBER
506
Direction
W
STREET_NAME
ESPLANADE
STREET_TYPE
DR
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
506 W ESPLANADE DR
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 1609 CLASS B COTTAGE FOOD -INDIRECT SALES <br />Permit ID # PT0028857 for Record ID # PR0547965 <br />Valid From 9/23/2022 To 9/30/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: FAM, ANTON N <br />DBA: LUXOR BAKERY <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LUXOR BAKERY Facility ID FA0027344 <br />506 W ESPLANADE DR Account ID AR0052679 <br />MOUNTAIN HOUSE, CA 95391 issued 9/23/2022 <br />Billing Address: ATTN : FAM, ANTON N <br />LUXOR BAKERY <br />506 W ESPLANADE DR <br />MOUNTAIN HOUSE, CA 95391 <br />7024.rpt End of report <br />
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