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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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4120
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1600 - Food Program
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PR0500106
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Entry Properties
Last modified
3/18/2019 4:32:16 PM
Creation date
3/18/2019 4:30:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0500106
PE
1618
FACILITY_ID
FA0004608
FACILITY_NAME
DUMBUYA'S MERCADO
STREET_NUMBER
4120
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
11518110
CURRENT_STATUS
01
SITE_LOCATION
4120 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
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 /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1618 RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) <br /> Permit 1D# PT0006910 for Record ID#PR0500106 <br /> Valid From 2/14/2019 To 2/28/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DUMBUYA, SERRY ANDREW <br /> DBA: DUMBUYA'S MERCADO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DUMBUYA'S MERCADO Facility ID FA0004608 <br /> 4120 N EL DORADO ST Account ID AR0004885 <br /> STOCKTON, CA 95204 Issued 2122/2019 <br /> Billing Address: ATTN : DUMBUYA, SERRY ANDREW <br /> DUMBUYA'S MERCADO <br /> 18106 CLEMENTINE CT <br /> LATHROP, CA 95330 <br /> 7024.rpt <br />
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