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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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1801
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1600 - Food Program
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PR0526025
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BILLING
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Entry Properties
Last modified
11/19/2024 10:19:12 AM
Creation date
12/7/2018 3:25:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0526025
PE
1612
FACILITY_ID
FA0017612
FACILITY_NAME
AFC SUSHI @ SAFEWAY #2600
STREET_NUMBER
1801
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23217024
CURRENT_STATUS
01
SITE_LOCATION
1801 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\1801\PR0526025\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
4/27/2016 6:34:24 PM
QuestysRecordID
3069174
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <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 - 1612 FOOD EST<500 SQ FT W/O SEATING <br /> Permit ID# PT0018130 for Record ID#PR0526025 <br /> Valid From 8/1/2013 To 7/3112014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ADVANCED FRESH CONCEPTS <br /> DBA: AFC FRANCHISE CORPORATION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: AFC SUSHI @ SAFEWAY#2600 Facility iD FA0017612 <br /> 1801 W 11TH ST Account ID AR0030620 <br /> TRACY, CA 95376 issued 7/9/2013 <br /> Billing Address: ATTN : LEGAL/COMPLIANCE DEPT <br /> AFC SUSHI @ SAFEWAY#2600 <br /> 19205 S LAUREL PARK RD <br /> RANCHO DOMINGUEZ, CA 90220 <br /> 7o24.mt <br />
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