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COMPLIANCE INFO_2024
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PR0516586
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COMPLIANCE INFO_2024
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Last modified
8/27/2024 11:33:55 AM
Creation date
4/24/2024 11:41:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0516586
PE
1624
FACILITY_ID
FA0007445
FACILITY_NAME
ICE CREAM EMPORIUM
STREET_NUMBER
120
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
25927704
CURRENT_STATUS
01
SITE_LOCATION
120 W MAIN ST STE A
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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STATE OF CALIFORNIA 0 <br /> CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION GAVIN NEWSOM <br /> 3321 POWER INN RD STE 210,SACRAMENTO,CA 95826 Governor <br /> 1-916-309-8792.1-916-227-1883 YOLANDA RICHARDSON <br /> www.cdtfa.ca.gov Secretary,Government Operations Agency <br /> 3,7,24 RECEIVED NICOLAS MA DRfor <br /> County of San Joaquin APR 0 <br /> Health Department 8 2024 <br /> 1868 E Hazelton Ave ENVIRONMENTAL HEALTH ENV <br /> Stockton CA 95205 PERMIT/SERVICES <br /> Re: 260-905664 <br /> Burgess Baking Company, Inc. <br /> Burgess Baking Company <br /> 120 W Main St Ste A <br /> Ripon CA 95366 <br /> To Whom It May Concern: <br /> Government Code section 15570.82 provides the California Department of Tax and Fee Administration <br /> (CDTFA)with the authority to examine books,accounts,and papers of all persons required to report to it,or <br /> having knowledge of the affairs of those required to report.Accordingly,the CDTFA requests that the <br /> following information be furnished: <br /> • Copies of health permits on record and any other documentation pertaining to the permit holder of the <br /> above business. <br /> • A statement from the assigned inspector identifying the owner of the above business at the time of the <br /> most current inspection. <br /> • Information on how any payments or license fees are paid. If any payments were made by check,please <br /> provide a copy of the check. If a copy is not available please provide the name and address of the bank, <br /> the account and routing number(if available),the name and address of the account holder,and the name <br /> of the person(s)signing the check(s). <br /> Please mail or fax the information to my attention at the address or fax number listed above. No fees should <br /> be billed to the CDTFA for this record request. <br /> If you have any questions or concerns,please contact my office at 916-309-8792. <br /> Thank you in advance for your cooperation. <br /> Regards, <br /> Kevin Tran <br /> Business Tax Complaince Specialist <br /> Sacramento Field Office KH <br /> kevin.tran3@cdtfa.ca.gov <br /> Enc: Envelope] <br /> NAME OF PERSON RESPONDING TO THIS REQUEST(please print) TITLE DATE <br /> J4 c-c, -1- a-, 2 <br /> SIGNATURE EPHONE NUMBER <br /> CDTFA-1514 REV.2(2-18) <br />
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