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EHD Program Facility Records by Street Name
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SEVENTH
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1600 - Food Program
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PR0529565
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Last modified
1/7/2021 9:15:53 AM
Creation date
3/2/2020 2:00:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0529565
PE
1633
FACILITY_ID
FA0019589
FACILITY_NAME
MELYS CHURROS
STREET_NUMBER
500
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
MODESTO
Zip
95354
APN
OUT OF COUNTY
CURRENT_STATUS
02
SITE_LOCATION
500 SEVENTH ST STE D
P_LOCATION
98
P_DISTRICT
000
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN JOAQUIN LOUNTY ENVIRONMENTAL HEALTH vEPARTMENT <br />1868 E. HazeIton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S141295 <br />Permit ID # PT0020253 for Record ID # PR0529565 <br />VEHICLE LIC # 4AN9538 <br />Valid From 1/1/2014 To 12/31/2014 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. 1 <br />PERMIT(s) Valid only for: GONZALEZ, PANFILO; RAZO,MARTHA <br />DBA: MELY'S CHURROS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MELYS CHURROS #4AN9538 & #4KM7430 <br />500 7TH ST # D <br />MODESTO, CA 95354 <br />FA0019589 AFcaccoiul i tnyt DD <br />A1 /R0 /023041847 1 <br />Issued <br />16 <br /> <br />Billing Address: ATTN : MARTHA RAZO <br />MELYS CHURROS #4AN9538 & #4KM7430 <br />1109 SHASTA AVE <br />MODESTO, CA 95358
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