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EHD Program Facility Records by Street Name
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1381
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1600 - Food Program
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PR0526770
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Entry Properties
Last modified
11/19/2024 10:19:14 AM
Creation date
6/10/2019 2:22:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0526770
PE
1616
FACILITY_ID
FA0018127
FACILITY_NAME
ISLAND GOURMET MARKET
STREET_NUMBER
1381
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23227015
CURRENT_STATUS
01
SITE_LOCATION
1381 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 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 - 1616 RETAIL MARKET< 1000 SQ FT W/FOOD PREP <br /> Permit ID# PT0018718 for Record ID# PR0526770 <br /> Valid From 2/1/2014 To 1/31/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ESCOBAR,VIRGILIO R JR <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ISLAND GOURMET MARKET Facility ID FA0018127 <br /> 1381 W 11TH ST AccountiD AR0031896 <br /> TRACY, CA 95376 Issued 12/26/2013 <br /> Billing Address: ATTN : ESCOBAR, VIRGILIO RJR <br /> ISLAND GOURMET MARKET <br /> 1381 W 11TH ST <br /> TRACY, CA 95376 <br />
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