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EHD Program Facility Records by Street Name
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FOREST HILLS
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1600 - Food Program
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PR0548000
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Entry Properties
Last modified
5/17/2024 2:54:52 PM
Creation date
12/13/2022 10:19:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548000
PE
1608
FACILITY_ID
FA0027378
FACILITY_NAME
CHAVINA'S
STREET_NUMBER
231
STREET_NAME
FOREST HILLS
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
231 FOREST HILLS DR
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\ymoreno
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 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />Permit ID # PT0028894 for Record ID # PR0548000 <br />Valid From 10/7/2022 To 10/31/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: CHAVES, ANGELICA <br />DBA: CHAVINA'S LLC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: CHAVINA'S Facility ID FA0027378 <br />231 FOREST HILLS DR Account ID AR0052733 <br />TRACY, CA 95376 Issued 10/7/2022 <br />Billing Address: ATTN : CHAVES, ANGELICA <br />CHAVINA'S <br />793 S TRACY BLVD #228 <br />TRACY, CA 95376 <br />7024.not <br />End of report <br />
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