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  • EHS Form No. 110-Application SP

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    Shi Yuan Zhang
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    This document is an application form for the issuance or renewal of a sanitary permit from the Clark Development Corporation Health and Sanitation Division. It provides details about the applicant, Hot Wok Chinese Restaurant, including the business name, address, owner, manager, and description of the business. It notes that a floor plan of the establishment and photocopy of the sanitary inspection fee receipt are attached. It requests to be informed of the date and time of inspection and to be notified of the result of the application.

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    EHS Form No. 110-application SP

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    This document is an application form for the issuance or renewal of a sanitary permit from the Clark Development Corporation Health and Sanitation Division. It provides details about the applicant, Hot Wok Chinese Restaurant, including the business name, address, owner, manager, and description of the business. It notes that a floor plan of the establishment and photocopy of the sanitary inspection fee receipt are attached. It requests to be informed of the date and time of inspection and to be notified of the result of the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    169 views1 page

    EHS Form No. 110-Application SP

    Uploaded by

    Shi Yuan Zhang
    This document is an application form for the issuance or renewal of a sanitary permit from the Clark Development Corporation Health and Sanitation Division. It provides details about the applicant, Hot Wok Chinese Restaurant, including the business name, address, owner, manager, and description of the business. It notes that a floor plan of the establishment and photocopy of the sanitary inspection fee receipt are attached. It requests to be informed of the date and time of inspection and to be notified of the result of the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    EHS FORM NO.

    110

    CLARK DEVELOMENT CORPORATION – HEALTH AND SANITATION DIVISION


    Bldg. 2093 Sergio Osmeña St., Corner Cardinal Santos Avenue,
    Clark Freeport Zone, Philippines 2023
    Tel Nos. : (045) 599-3854 Fax No. : (045) 599-6417

    APPLICATION FORM NO. ___________________


    RE: ISSUANCE / RENEWAL OF SANITARY PERMIT

    CDC HEALTH OFFICER


    _____________________
    _____________________

    SIR / MADAM:

    I have the honor to apply for issuance / renewal of Sanitary Permit. Hereunder are
    pertinent information to support my application.

    DTI Approved Business Name: __HOT WOK CHINESE RESTAURANT_________________


    Address: STALL NO.206 & 207 PHILMADE BUILDING, CFZ, PAMPANGA
    Owner: HAZEL H. JAENA______________ Manager: ___MARK LUIS BETACHE
    Description of Proposed/Present Business: __CHINESE RESTAURANT__________________

    Attached is the floor plan of our establishment showing the proposed / present arrangement of
    Appliances, equipment, fittings, table, etc. Photocopy of the Sanitary Inspection Fee Official
    Receipt No. __________ dated __________, 20_____ is also attached.

    Please inform us of the date and time of your inspection and we will likewise appreciate if you
    could also inform us the soonest of the result of our application.

    Very truly yours,

    HAZEL H. JAENA
    Applicant

    Tel No.: 0917 631 2973


    Email add: hotwokrestaurant22@gmail.com

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