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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR2400411
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/7/2026 4:28:45 PM
Creation date
4/7/2026 4:08:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2400411
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0001667
FACILITY_NAME
DAY OF THE DEAD BLOCK PARTY IN MOUNTAIN HOUSE
STREET_NUMBER
25
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
25 E MAIN ST MOUNTAIN HOUSE 95391
Tags
EHD - Public
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SS B <br />Post in a Conspicuous Place <br />19 <br />810 Court Street <br />Jackson, CA 95642 <br />209-223-6439 <br />rSQpAGE FOOD <br />^^/Treats <br />3®<nechtli <br />i Pine Dr E <br />eer, CA 95666 <br />02866-24 <br />^1/24 <br />iBl/2024 <br />B <br />p^ible State of-CaUforni^f^ulations an’^aws. Thi^ permit is <br />dfiBorreyok^ci. TheArnadpr^t <br />■w-- z-ounty En^con'merjial ^alfir^^qv'dHan^^n eqiijpm'eht, operatrog^aEfl <br />operationf^bjectto ptWdMv^ byA^iroHmeni^fclgal <br />^p^ef^t'is not tra^sfgraRMnti is^at® or|y tolge-a^ <br />ope-atk>n’ c2 <br />his permit^ refere^f^r-permits t^ <br />a/ty <br />«QK0r .A ’ W;?.. <br />■ <br />perwiitW^W'^ <br />Issued < <br />Valid Throug^^’^1^: ___ <br />t 1 ■— 11julations anddaws. This permit is <br />The ArTjadorkC'bu.Q^ HealUwfficer ma^tevoke or <br />'^^l^ife5^n^Berator is CTuired to , operatibh^Grcrtodiffcafrons. Any ^odificatioM, change <br />tlj^lth . Un^jp^rdved changes niay be;nullified djjsubject to <br />trti^bf peTmlt issuaj^^^^^^eW^wSfeojf^itions, if ahy, are <br />SOIO.rpt 1.0.0.70.00 <br />Amador County <br />^^®^^gvironmental Health Department <br />PERMIT TO OPERATi|< <br />7 fP -t/ <br />Type of Permit <br />Name of Busir^s^ <br />Owner of Busigbss <br />Business Loeation ■ <br />1 <br />This permit is^Ssued pursuant to the Amador <br />valid through'?fH’e date incffiated abgye un^s <br />suspend this^ermit to opSrateaftTebusine^l <br />notify Amadoppounty En^ronfhepiaTHj^j^^^yCi^n^i^ e^j <br />in equipmentoperationffe Subject to by^"^ <br />corrective act^s^Bi^erfefr is not tfansffirai^eyanH is| <br />new permit pr^^^XSg operation. T^^oSiltJniiij <br />Permits issued ?lr.e subject t^ny permi^ftQhditic^ns at tig <br />incorporated in8Sj['5* ^uL <br />each tank. VL w <br />% <br />Debra Larson, R.E.H.S <br />Director <br />d
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