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1600 - Food Program
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PR0162593
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Last modified
3/1/2019 11:44:07 AM
Creation date
3/1/2019 11:28:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING/PERMITS
RECORD_ID
PR0162593
PE
1613
FACILITY_ID
FA0002895
FACILITY_NAME
DISCO'S WAFFLE ON A STICK LLC
STREET_NUMBER
5308
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10224019
CURRENT_STATUS
01
SITE_LOCATION
5308 PACIFIC AVE #104
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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SAN JOAQUIN JUNTY ENVIRONMENTAL HEALTH JPARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone (209)468-3420 <br /> Donna Heran, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1613 FOOD EST 501-1000 SQ FT W/O SEATING <br /> Permit ID# PT0002888 for Record ID# PR0162593 <br /> Valid From 9/1/2010 To 8/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: RUIZ, KARINA <br /> DBA: SALSA PICANTE MEXICAN GRILL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ONTHE PREMISES <br /> Regulated Facility: SALSA PICANTE MEXICAN GRILL Facility ID FA0002895 <br /> 5308 PACIFIC AVE# 104 Account ID AR0002456 <br /> STOCKTON, CA 95207 Issued 7/28/2010 <br /> Billing Address: ATTN : RUIZ, KARINA <br /> SALSA PICANTE MEXICAN GRILL <br /> 5308 PACIFIC AVE# 104 <br /> STOCKTON, CA 95207 <br /> W4.rpt <br />
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