HomeMy WebLinkAboutBayou Billy Permit 730270 10 08 10.JH.pdf[]am
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B A Y 0 U B I L L Y
Name of Establishment
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Address;
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B I L L R 0 B I N S 0 N
Permfttee
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M anager or Person in charge
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Water Supply Wastewater System Risk Category Territory # Capacity,
0 1 73 - Temporary Food I
Facifity IN E]ExIsUng Facilityid Fa tlity ID Operate aStatus Code
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Push Cart or rA F U Name
Transitional Permit Conditions: Permit Expires, []90 days [:] 180 days
Non-Complant 0ems cornpieted by,
ConditionsRernarks
Estabfishment Assigned To:
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1654 1 8 a 0 1 0
EHSID Date:
M anagertPerson in charge
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title Date:
C Department of Environmental & Natural Resources N [:]Transitional
Division of Environmental Health
Date-, 10/0812010
Name of Estabfishment, BAYOUBILLS Permittee. BILL ROBINSON
Location Address: 26207 NW 160TH PLACE I
FL Zip- 32
City* HIGH SPRINGS State',
Billing N rne- BILLROBINSON
Managen'Person in Charge. BILL ROBINSON
County, 18
ling Address: 2,6207 NW 150TH PLACE Establishment ID,2018730270
City HIGH SPRINGS Stag: FLZip- 32643* -------------- Parcel lEt--------------
Email Address: L t Lcrt°tg ................
Phone: Fax; Emergency Phone Number.
Peinniission is granted to operate a 7 - Temporary Establishment as defined in G,S, 1 0A-247(l) and 130A-248,
Regulation tion f Food and Lodging F iltti s.I See permit requirements in Rules, This pernnt is not transferabIe and may he revoked for failure to
comply with all requirements,
Wastewater Systems, #14unrciparlCornmunity On -Site ystern �apacrty; category r1 Water supply tit onicipa[t ornmuM On -Site System
PutiattrIAobile Food Unit operating in CtkntCA9ictIon vWgth;
StatB'&`n$ or Commissary I*taN15a arsd MC? r5ratiber
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Establishment assigned to 1554
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This permit shall expire on and is not renewable Alt non -compliant items listed herein and on attached pages (d
app4cadle) roust be corrrpEeted Mmin 90 180 days days, This establishment must close if art noncompliant items are not corrected by the
exp�ratidn date.
let Heafth
DEER 1341 (revised 0210)
Environmental health Beretces Section (review 710