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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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Y <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton 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 1623 RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0003152 for Record ID # PR0163138 <br />Valid From 12/1/2022 To 1113012023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SRUN, HKECKSIM <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: FRESH DONUTS <br />Facility ID FA0003162 <br />1274 W ELEVENTH ST <br />Account ID AR0002727 <br />TRACY, CA 95376 <br />issued 12120/2022 <br />Billing Address: ATTN : SRUN, HKECKSIM <br />FRESH DONUTS <br />3580 W GRANT LINE RD # 612 <br />TRACY, CA 95304 <br />7024.rpt <br />End of report <br />
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