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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0537289
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Entry Properties
Last modified
5/6/2020 9:54:47 AM
Creation date
4/3/2020 1:18:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0537289
PE
1624
FACILITY_ID
FA0021405
FACILITY_NAME
FUSION BOBA CAFE
STREET_NUMBER
25
Direction
S
STREET_NAME
HUNTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
14903004
CURRENT_STATUS
01
SITE_LOCATION
25 S HUNTER ST
P_LOCATION
01
P_DISTRICT
001
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 /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1624 RESTAURANT/BAR 21-50 SEATS <br /> Permit ID# PT0022822 for Record ID# PR0537289 <br /> Valid From 9/1/2014 To 8131/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MMM FUSION INC <br /> DBA: FUSION BOBA CAFE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FUSION BOBA CAFE Facility ID FA0021405 <br /> 25 S HUNTER ST Account ID AR0038770 <br /> STOCKTON, CA 95202 Issued 7130/2014 <br /> Billing Address: <br /> FUSION BOBA CAFE <br /> 2638 KEYSER DR <br /> STOCKTON, CA 95212 <br /> 7024.rp1 <br />
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