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COMPLIANCE INFO_2023
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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PR0548447
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
6/20/2023 4:08:00 PM
Creation date
6/20/2023 4:06:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548447
PE
1695
FACILITY_ID
FA0027669
FACILITY_NAME
TWG FAMILY FUN FEST
STREET_NUMBER
25
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
25 MAIN ST
P_LOCATION
03
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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SAN JOAQUIN <br /> <br />Environmental Health Department <br />--COUNTY-- - <br />TEMPORARY EVENT FOOD VENDOR LIST <br />FV#- Corresponding number for Food Booth on site plan <br />NAME OF BOOTH-Food vending business <br />CONTACT PERSON-Responsible person for booth <br />PHONE #-Phone number of Contact oerson before and on day of event <br />FV# NAME OF BOOTH CONTACT PERSON PHONE # <br />I-- Pia vini/G //Ayier? /e07.5/7t4itfit',4_°41Y4 ata -5,2 firtclittibmi/ai 7,0 7— ,s-re2 -.at& „ <br />02- Ta la Vera7--i 0 0 c h9vMonti 0 f -51 ' ,3 - 7c5,3 41 <br />3 Ana (7--,-,,,,,:tz a,z,„L., b/.2 - b4/0 -L759q <br />14 ipdiiia f/k -3 G, /7- - /7 - <br />6 hr 7 t . - Itep,01 de h`e C .7 : 4 2 - ( e A .62 Ole-C/7 4 ' .7- e4C41-. ;09 - 3 / r - <br />- - - -- 3 NK •-k = 20 <br />D.-'cni2 \--;-0 c;10-\(.3(2;. 21 <br />1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-34201 F 209 464-0138 www.sjgov.org/ehd <br />END 16-02 Page 11 of 11 TEMP EVENT APP <br />06/19/19
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