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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0545010
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Entry Properties
Last modified
4/1/2020 2:59:06 PM
Creation date
4/1/2020 2:58:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0545010
PE
1613
FACILITY_ID
FA0025606
FACILITY_NAME
EDGE NUTRITION
STREET_NUMBER
2324
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2324 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 - 1613 FOOD EST 501-1000 SQ FT W/O SEATING <br /> Permit ID# PT0027199 for Record ID# PR0545010 <br /> Valid From 11/14/2019 To 11/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CRUZ RAMIREZ, SUSANA <br /> DBA: EDGE NUTRITION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: EDGE NUTRITION Facility ID FA0025606 <br /> 2324 PACIFIC AVE Account ID AR0048411 <br /> STOCKTON, CA 95204 Issued 12/5/2019 <br /> Billing Address: ATTN : CRUZ RAMIREZ, SUSANA <br /> EDGE NUTRITION <br /> 2324 PACIFIC AVE <br /> STOCKTON, CA 95204 <br /> 7024.rpt <br />
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