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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EASTLAKE
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1510
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1600 - Food Program
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PR0545238
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BILLING_2023
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Entry Properties
Last modified
1/12/2023 3:01:40 PM
Creation date
1/12/2023 2:52:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0545238
PE
1609
FACILITY_ID
FA0025725
FACILITY_NAME
ROGUE BREAD
STREET_NUMBER
1510
STREET_NAME
EASTLAKE
STREET_TYPE
CIR
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
1510 EASTLAKE CIR
P_LOCATION
03
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0048666 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0545238
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# PT0027318 for Record ID # PR0545238 <br /> Valid From 2/1/2023 To 1/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BURNLEY, JESSICA <br /> DBA: ROGUE BREAD <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ROGUE BREAD Facility ID FA0025725 <br /> 1510 EASTLAKE CIR Account ID AR0048666 <br /> TRACY, CA 95304 Issued 1/12/2023 <br /> Billing Address: ATTN : BURNLEY, JESSICA <br /> ROGUE BREAD <br /> 1510 EASTLAKE CIR <br /> TRACY, CA 95304 <br /> combined.rpt End of report <br />
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