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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0545128
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Entry Properties
Last modified
4/1/2020 3:19:25 PM
Creation date
4/1/2020 3:18:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0545128
PE
1623
FACILITY_ID
FA0025670
FACILITY_NAME
DYNAMIC NUTRTION
STREET_NUMBER
738
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
738 N CENTRAL AVE UNIT A
P_LOCATION
03
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 - 1623 RESTAURANT/BAR 1-20 SEATS <br /> Permit ID# PT0027255 for Record ID# PR0545128 <br /> Valid From 12/10/2019 To 12/31/2020 <br /> 3 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FOLEY, HEATHER <br /> DBA: DYNAMIC NUTRITION <br /> THIS FORM MUST BE'DISITA)ED CONSPICDOUSIA ON THE I'll--11ISE S <br /> Regulated Facility DYNAMIC NUTRTION Facility ID FA0025670 <br /> 738 N CENTRAL AVE#A Account ID AR0048542 <br /> TRACY, CA 95376 Issued 1/7/2020 <br /> Billing Address: ATTN : FOLEY, HEATHER <br /> DYNAMIC NUTRTION <br /> 738 N CENTRAL AVE UNIT A <br /> TRACY, CA 95376 <br /> 7024.rpt <br />
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