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BILLING_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FORTY NINER
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16775
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1600 - Food Program
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PR0537673
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BILLING_2021
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Entry Properties
Last modified
1/12/2022 11:47:36 AM
Creation date
1/12/2022 10:57:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0537673
PE
1608
FACILITY_ID
FA0021706
FACILITY_NAME
CHANEL NIE CAKES
STREET_NUMBER
16775
STREET_NAME
FORTY NINER
STREET_TYPE
TR
City
LATHROP
Zip
95330
APN
19137051
CURRENT_STATUS
01
SITE_LOCATION
16775 FORTY NINER TR
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0039387 ;
PermitRecordID
PR0537673
Tags
EHD - Public
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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1608 - CLASS A COTTAGE FOOD-DIRECT SALES <br />Permit ID # PT0023157 for Record ID # PR0537673 <br />Valid From 10/1/2021 To 9/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />MATHEWS, NIEISHA M <br />CHANEL NIE CAKES <br />Regulated Facility: <br />16775 FORTY NINER TR <br />LATHROP, CA 95330 <br />Facility ID <br />Account ID <br />Issued <br />FA0021706 <br />AR0039387 <br />1/11/2022 <br />CHANEL NIE CAKES <br />MATHEWS, NIEISHAATTN : Billing Address: <br />CHANEL NIE CAKES <br />16775 FORTY NINER TRL <br />LATHROP, CA 95330 <br />End of reportcombined.rpt
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