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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548833
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Entry Properties
Last modified
2/14/2024 4:13:50 PM
Creation date
2/14/2024 4:13:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548833
PE
1609
FACILITY_ID
FA0027980
FACILITY_NAME
FREEZE DRIED CANDY FOR ME
STREET_NUMBER
218
STREET_NAME
CHARLES
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
218 CHARLES AVE
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 />I 1 <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 1609 CLASS B COTTAGE FOOD-INDIRECT SALES <br />Permit ID # PT0029583 for Record ID # PR0548833 <br />Valid From 12/13/2023 To 1 2/31/2024 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> <br />, I <br /> <br />PERMIT(s) Valid only for: IVEY, BRANDY <br />DBA: FREEZE DRIED CANDY FOR ME <br />Regulated Facility: FREEZE DRIED CANDY FOR ME <br />218 CHARLES AVE <br />MANTECA, CA 95336 <br />Facility ID FA0027980 <br />Account ID AR0054372 <br />Issued 1 2/1 4/2023 <br />Billing Address: <br />7024.rpt <br />ATTN : IVEY, BRANDY <br />FREEZE DRIED CANDY FOR ME <br />218 CHARLES AVE <br />MANTECA, CA 95336 <br />End of report
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