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Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILLIAMSON
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1600 - Food Program
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PR0547399
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Entry Properties
Last modified
3/2/2023 3:41:08 PM
Creation date
3/3/2022 11:56:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547399
PE
1608
FACILITY_ID
FA0026945
FACILITY_NAME
MELO BREAD
STREET_NUMBER
801
STREET_NAME
WILLIAMSON
STREET_TYPE
RD
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
801 WILLIAMSON RD
P_LOCATION
04
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />i <br />PERMIT TO OPERATE - PE 1608 CLASS A COTTAGE FOOD -DIRECT SALES j <br />Permit ID # PT0028432 for Record ID # PR0547399 <br />Valid From 1/6/2022 To 1/31/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: GRENZ, KEVIN <br />DBA: MELD BREAD <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MELD BREAD Facility 10 FA0026945 <br />801 WILLIAMSON RD Acccunt ID AR0051527 <br />MANTECA, CA 95337 issued 1/7/2022 <br />Biiiingnddress: ATTN : GRENZ, KEVIN <br />MELO BREAD <br />801 WILLIAMSON RD <br />MANTECA, CA 95337 <br />704.,+1 End &'ePon <br />
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