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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TULIP TREE
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17022
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1600 - Food Program
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PR0548498
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Entry Properties
Last modified
8/23/2023 9:32:44 AM
Creation date
8/23/2023 9:31:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548498
PE
1608
FACILITY_ID
FA0027715
FACILITY_NAME
FEEL GOOD WITH GOBI
STREET_NUMBER
17022
STREET_NAME
TULIP TREE
STREET_TYPE
WAY
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
17022 TULIP TREE WAY
P_LOCATION
07
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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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 # PT0029276 for Record ID # PR0548498 <br />Valid From 6/14/2023 To 6/30/2024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: MANGOBA, ANGELIQUE-ELLISE <br />DBA: FEEL GOOD WITH GOBI <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: FEEL GOOD WITH GOBI <br /> <br />Facility ID FA0027715 <br />17022 TULIP TREE WAY <br /> <br />Account ID AR0:153753 <br />LATHROP, CA 95330 <br /> <br />Issued 6/15/2023 <br />Billing Address: <br />7024 rpt <br />ATTN : MANGOBA, ANGELIQUE-ELLISE <br />FEEL GOOD WITH GOBI <br />17022 TULIP TREE WAY <br />LATHROP, CA 95330 <br />End of report
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