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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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1274
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1600 - Food Program
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PR0163138
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BILLING
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Entry Properties
Last modified
11/19/2024 10:19:11 AM
Creation date
12/7/2018 3:23:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0163138
PE
1623
FACILITY_ID
FA0003162
FACILITY_NAME
FRESH DONUTS
STREET_NUMBER
1274
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23405008/9
CURRENT_STATUS
01
SITE_LOCATION
1274 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\1274\PR0163138\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
4/25/2016 10:40:29 PM
QuestysRecordID
3066172
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONiVIENTAL HEALTH DEPANIENT <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran, R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1623 RESTAURANT/BAR 1-20 SEATS <br /> Permit ID# PT0003152 for Record ID# PRO163138 <br /> Valid From 11/1/2014 To 10/31/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERM IT(s)Valid only for: KEO, VUTH <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated FacilityFRESH DONUTS & ICE CREAM Faci ity ID FA0003162 <br /> 1274 W 11TH ST Account ID AR0002727 <br /> TRACY, CA 95376 Issued 10/1/2014 <br /> Billing Address: ATTN : VUTH KEO <br /> FRESH DONUTS & ICE CREAM <br /> 1274 W 11TH ST <br /> TRACY, CA 95376 <br /> ]o2arPl <br />
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