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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548482
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Entry Properties
Last modified
8/9/2023 4:14:03 PM
Creation date
8/9/2023 4:13:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548482
PE
1608
FACILITY_ID
FA0027699
FACILITY_NAME
ROXY SWEET'S
STREET_NUMBER
577
STREET_NAME
LODE
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
577 LODE ST
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />o <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton 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 # PT0029260 for Record ID # PR0548482 <br />Valid From 6/7/2023 To 6/30/2024 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br /> <br />PERMIT(s) Valid only for: RAM IREZ, ROXANA <br />DBA: ROXY SWEET'S <br />Regulated Facility: ROXY SWEET'S <br /> Facility ID FA0027699 <br />577 LODE ST <br /> Account ID AR0053729 <br />MANTECA, CA 95336 <br /> Issued 6/7/2023 <br />Billing Address: <br />7024.rpt <br />ATTN : RAMIREZ, ROXANA <br />ROXY SWEETS <br />577 LODE ST <br />MANTECA, CA 95336 <br />End of report
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