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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0528275
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Entry Properties
Last modified
11/19/2024 10:20:42 AM
Creation date
5/21/2019 1:45:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0528275
PE
1624
FACILITY_ID
FA0019114
FACILITY_NAME
ASIAN-CAJAN CRAWFISH
STREET_NUMBER
95
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23313027
CURRENT_STATUS
02
SITE_LOCATION
95 W 11TH ST STE 103
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN %-vUNTY ENVIRONMENTAL HEALTH v.EPARTMENT <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 - 1624 RESTAURANT/BAR 21-50 SEATS <br /> Permit 1D# PT0019754 for Record ID# PR0528275 <br /> Valid From 12/1/2013 To 11/30/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GIMENES, ALICE <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ASIAN-CAJAN CRAWFISH Facility iD FA0019114 <br /> 95 W 11TH ST# 103 Account iD AR0034038 <br /> TRACY, CA 95376 issued 10/31/2013 <br /> Billing Address: ATTN : GIMENES, ALICE <br /> ASIAN-CAJAN CRAWFISH <br /> 915 LIBERTY CT <br /> TRACY, CA 95376 <br />
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