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COMPLIANCE INFO_2020
EnvironmentalHealth
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1600 - Food Program
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PR0545802
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
5/14/2021 8:12:38 AM
Creation date
1/5/2021 2:44:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0545802
PE
1635
FACILITY_ID
FA0025920
FACILITY_NAME
TACOS MENO #83592D1
STREET_NUMBER
8091
STREET_NAME
BALFOUR
STREET_TYPE
RD
City
BRENTWOOD
Zip
94513
CURRENT_STATUS
01
SITE_LOCATION
8091 BALFOUR RD
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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KITCHEN RENTAL AGREi I NT Code: 3 11 <br /> TESS'COMMUNITY APPLICATION Start Date: <br /> 1. Name: C �✓ � � Email Address: � �� � � l;/ lhil <br /> qcjCPhone Numb r: ) <br /> Address:T t c ! � S Phone in the event of Emergent_ 35 6 7�. <br /> 04,1 <br /> Security Deposit: <br /> Rate per hoot: First Month's Rent. <br /> Days of the Week: c. �� C Time each day: la wt _ � ,I't <br /> #of Days per Month: <br /> I authorize Tess'Enterprises Inc. ('TEI' or its representative to do a background check for purposes of renting this kitchen. <br /> I will provide my social security card number to Barbara A. Frantz for validation.My liability insurance and serve-safe certificate <br /> are attached. <br /> I would like to use TEI's kitchen at 8091 Balfour Road for the following purpose: - f <br /> `t `�C-)' ' �. -�y _C' �,� ? ' C, C j- l_f�(rj `✓TCS f t <br /> Here are 3 references with their phone numbers: <br /> Soloo-enylo <br /> A I Y C V(,I mif Z <br /> I would like to use the following equipment at Tess': �%— c 4` t I <br /> C9 V'I f Y2>`>. oLij �o S J _ c .. <br /> ) . <br /> 'YAC: <br /> I would like to bring the following equipment and keep it at Tess': 11 - ) <br /> I require storage space in the Bam Cold Syage Unit t a <br /> I understand that my deposit may be used for failure to pay rent or lost or dainaged equipment,an ust e replenished if e <br /> I will return my key if I stop using the premises. TEI reserves the right to remove product from any area if they deem necessary <br /> at their sole discretion. TEI use tabes priority over my use,and if there is a conflict,their use is controlling. This is a first come, <br /> first reserved space. If I do not notify TEI at least 48 hours prior to my use,I will be responsible for the rental and other fees <br /> whether or not I use the space. I agree to the terms of this agreement and to the attached General Terms and Conditions. <br /> Once signed by TEI,this application shall serve as the agreement between us. <br /> Tess'Enterprises Inc. <br /> Barbara A. F7 <br /> tz,Presit Date Date <br /> e_ <br />
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