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EHD Program Facility Records by Street Name
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HAZELTON
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1304
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1600 - Food Program
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PR0161591
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Entry Properties
Last modified
12/27/2019 3:51:15 PM
Creation date
12/27/2019 3:50:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0161591
PE
1615
FACILITY_ID
FA0001363
FACILITY_NAME
ELSUMERI MARKET
STREET_NUMBER
1304
Direction
E
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
15129401
CURRENT_STATUS
01
SITE_LOCATION
1304 E HAZELTON AVE
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <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 - 1615 RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br /> Permit ID# PT0001360 for Record ID# PR0161591 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ELSUMERI, DIRHEM <br /> DBA: ELSUMERI MARKET <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ELSUMERI MARKET Facility ID FA0001363 <br /> 1304 E HAZELTON AVE Account ID AR0001362 <br /> STOCKTON, CA 95205 Issued 6/4/2013 <br /> Billing Address: ATTN : ELSUMERI, DIRHEM <br /> ELSUMERI MARKET <br /> 1304 E HAZELTON AVE <br /> STOCKTON, CA 95205 <br />
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