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Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548372
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Entry Properties
Last modified
6/16/2023 2:24:46 PM
Creation date
6/16/2023 2:24:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548372
PE
1608
FACILITY_ID
FA0027619
FACILITY_NAME
BAKED IT BY NYDAM
STREET_NUMBER
1680
Direction
W
STREET_NAME
FOURTH
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
1680 W FOURTH ST
P_LOCATION
05
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br />Permit ID # PT0029184 for Record ID # PR0548372 <br />Valid From 4/18/2023 To 4/30/2024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: NYDAM, AMBER N <br />DBA: BAKED IT BY NYDAM <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BAKED IT BY NYDAM <br /> Facility ID FA0027619 <br />1680 W FOURTH ST <br /> Account ID AR0053528 <br />RIPON, CA 95366 <br /> <br />Issued 4/18/2023 <br />Billing Address: <br />7024.rpt <br />ATTN : NYDAM, AMBER <br />BAKED IT BY NYDAM <br />1680 W FOURTH ST <br />RIPON, CA 95366 <br />End of report
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