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1600 - Food Program
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PR0542073
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Entry Properties
Last modified
9/12/2024 3:57:47 PM
Creation date
9/12/2024 3:22:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0542073
PE
1695
FACILITY_ID
FA0024162
FACILITY_NAME
MOUNTAIN HOUSE CERT FARMERS MRKT
STREET_NUMBER
251
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
251 E MAIN ST
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Haze1ton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Hang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1695 TEMPORARY EVENT # <br />Record ID # PR0542073 <br />Valid From 4/21/2024 To 4/30/2025 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: HARLOW, WILLIAM <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MOUNTAIN HOUSE CERT FARMERS MRKT <br />251 E MAIN ST # <br />MOUNTAIN HOUSE, CA 95391 <br />Billing Address: ATTN : HARLOW, WILLIAM <br />MOUNTAIN HOUSE CERT FARMERS MRKT <br />PO BOX 9898 <br />SLAKE TAHOE, CA 96158 <br />7024.rpt <br />Facility ID FA0024162 <br />Issued 7/12/2024 <br />End of report
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