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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LA CASA
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23054
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1600 - Food Program
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PR2500123
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Entry Properties
Last modified
9/24/2026 10:40:04 PM
Creation date
5/29/2025 4:27:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR2500123
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0002398
FACILITY_NAME
SIMPLY SOURDOUGH LLC
STREET_NUMBER
23054
STREET_NAME
LA CASA
STREET_TYPE
CT
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
23054 S LA CASA CT TRACY 95304
Tags
EHD - Public
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ENVIRONMENTAL HEALTH <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Facility ID: FA0002398 <br />Issued: 03/2/2026 <br />7024 End of Report <br />Regulated Facility: SIMPLY SOURDOUGH LLC <br />23054 LA CASA CT <br />TRACY, CA 95304 <br />Billing Address: ATTN: REBECCA MAIBES <br />23054 LA CASA CT <br />TRACY, CA 95304 <br />PERMIT TO OPERATE - 1608 - CLASS A COTTAGE FOOD-DIRECT SALES <br />Record ID # PR2500123 <br />Valid From 11/01/2025 To 10/31/2026 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Avenue - Stockton, CA 95205-6232 - Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: REBECCA MAIBES <br />DBA: SIMPLY SOURDOUGH LLC
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