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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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THORNTON
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9303
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1600 - Food Program
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PR2500127
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COMPLIANCE INFO
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Entry Properties
Last modified
3/12/2026 11:12:00 AM
Creation date
3/12/2026 9:44:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR2500127
PE
1681 - COMMISSARY (VEHICLE/CART)
FACILITY_ID
FA0002430
FACILITY_NAME
EXECUTIVE LEMONADE AND COFFEE
STREET_NUMBER
9303
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95209
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
9303 C THORNTON RD STOCKTON 95209
Suite #
Suite C
Tags
EHD - Public
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/ <br />Phone: 2O^Ji£x2>nQZL2^. <br />CommentsCompletedDate <br />4 <br />EIN: IRS website <br />Liability Insurance: Next website <br />Food Safety Certification: premier food safety <br />City of Stockton Business License: 345 N. El Dorado St. <br />Sellers Permit: Ca.gov <br />Food Inspection Report: 1868 E. Hazelton Ave. Stockto Ca. 95205 209-468-3420 <br />Commissary Agreement: 110 N. El Dorado St. Stockton Ca. 95202 <br />Self-Certification signed and return to : 400 E. Main St. 4,h floor. Stockton ca. 95202 <br />Document_______ <br />EIN <br />Liability Insurance <br />Stockton Community Kitchen <br />IM per occurrence, <br />2M aggregate _____ <br />Food Safety <br />Certification <br />City of Stockton <br />Business License <br />Sellers Permit__ <br />Food Program <br />Inspection Report <br />Commissary <br />Agreement _ <br />City of Stockto <br />Self-Certification <br />Family Income <br />Verification <br />Business <br />Entrepreneurship <br />program <br />Address: Afqlfi U.icLqcK- C><rtiCA __________ <br />e-mail: gU-cycled- rw <br />Name: <br />Business Name: H: <br />[llDate: 11 <br />and-
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