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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1960
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1600 - Food Program
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PR0500057
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Entry Properties
Last modified
11/19/2024 10:19:14 AM
Creation date
5/17/2019 4:21:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0500057
PE
1616
FACILITY_ID
FA0004556
FACILITY_NAME
CHEVRON FOOD MART #1563
STREET_NUMBER
1960
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95378
APN
23402001
CURRENT_STATUS
01
SITE_LOCATION
1960 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTh„EPARTIVIENT <br /> 1868 E. Hazelton Ave. 9 Stockton,CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1616 RETAIL MARKET< 1000 SQ FT W/FOOD PREP <br /> Permit ID# PT0006458 for Record ID# PRO500057 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CHEVRON STATIONS, INC <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CHEVRON FOOD MART#1563 Facility to FA0004556 <br /> 1960 W 11TH ST Account to AR0004299 <br /> TRACY, CA 95378 issued 5/23/2014 <br /> Billing Address: ATTN : LICENSES & PERMITS <br /> CHEVRON FOOD MART#1563 <br /> PO BOX 2292 <br /> BREA, CA 92821-2292 <br /> 7o2a.rpt <br />
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