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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544877
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Entry Properties
Last modified
2/26/2020 9:16:14 AM
Creation date
2/26/2020 9:15:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544877
PE
1612
FACILITY_ID
FA0025509
FACILITY_NAME
KRAZY ROLLS
STREET_NUMBER
4950
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4950 PACIFIC 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. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Linda Turkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1612 FOOD EST <500 SQ FT W/O SEATING <br />Permit ID # PT0027110 for Record ID # PR0544877 <br />Valid From 9/23/2019 To 9/30/2020 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: VEGA, ADALBERTO <br />DBA: KRAZY ROLLS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: KRAZY ROLLS Facility ID FA0025509 <br />4950 PACIFIC AVE Account ID AR0048171 <br />STOCKTON, CA 95207 Issued 9/24/2019 <br />Billing Address: ATTN : VEGA, ADALBERTO <br />KRAZY ROLLS <br />3716 TROON PL <br />MODESTO, CA 95357 <br />7o24.rpc <br />
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