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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOUISE
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1600 - Food Program
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PR0544523
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Entry Properties
Last modified
11/2/2020 8:16:50 AM
Creation date
7/29/2019 3:42:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544523
PE
1623
FACILITY_ID
FA0025309
FACILITY_NAME
SOUL NUTRITION
STREET_NUMBER
263
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
263 E LOUISE AVE
P_LOCATION
04
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 Thrkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1621 BAR W/O FOOD PREP <br /> Permit ID# PT0026946 for Record ID# PR0544523 <br /> Valid From 5/23/2019 To 5/31/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PERRY, CARMEN <br /> DBA: CORK AND BARREL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CORK AND BARREL Facility ID FA0025309 <br /> 263 E LOUISE AVE Account ID AR0047636 <br /> LATHROP, CA 95330 Issued 6/4/2019 <br /> Billing Address: ATTN : PERRY, CARMEN <br /> CORK AND BARREL <br /> 678 SONORAAVE <br /> MANTECA, CA 95337 <br /> 7024,rpt <br />
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