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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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3010
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1600 - Food Program
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PR0503284
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BILLING
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Entry Properties
Last modified
5/6/2020 11:23:35 AM
Creation date
12/7/2018 5:06:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0503284
PE
1619
FACILITY_ID
FA0022671
FACILITY_NAME
WALMART #2025
STREET_NUMBER
3010
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23860010
CURRENT_STATUS
01
SITE_LOCATION
3010 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\3010\PR0503284\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
3/10/2016 4:04:03 PM
QuestysRecordID
2608989
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 - 1619 RETAIL MKT >1000 SQ FT (=/>2 DEPTS) <br />Permit ID # PT0007064 for Record ID # PR0503284 <br />Valid From 7/1/2013 To 6/3012014 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: WAL-MART INC <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: WAL-MART SUPERCENTER #2025 <br />Facility ID FA0004548 <br />3010 W GRANT LINE RD Account ID AR0004292 <br />TRACY, CA 95304 Issued 6/412013 <br />Billing Address: LICENSING SUPPORT <br />WAL-MART SUPERCENTER #2025 <br />11206 THOMPSON AVE <br />LENEXA, KS 66219 <br />02A rpt <br />
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