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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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AIRPORT
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2440
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1600 - Food Program
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PR0516382
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Entry Properties
Last modified
4/5/2023 4:11:23 PM
Creation date
4/7/2020 1:01:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0516382
PE
1635
FACILITY_ID
FA0012589
FACILITY_NAME
LA POBLANA #68332U1
STREET_NUMBER
2440
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16913327
CURRENT_STATUS
01
SITE_LOCATION
2440 S AIRPORT WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1635 - MOBILE FOOD PREPARATION UNIT (MFPU) # S239466 <br />Permit ID # PT0011265 for Record ID # PR0516382 <br />VEHICLE LIC # 68332U1 <br />Valid From 1/1/2023 To 12/31/2023 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br />PERMIT(s) Valid only for: RAMIREZ, FATIMA <br />DBA: LA POBLANA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> I <br />Regulated Facility: LA POBLANA #68332U1 <br /> Facility ID FA0012589 <br />2440 S AIRPORT WAY <br /> Account ID AR0020781 <br />STOCKTON, CA 95206 <br /> Issued 2/7/2023 <br />Billing Address: <br />7016.rpt <br />ATTN : RAMIREZ, FATIMA <br />LA POBLANA#68332U1 <br />2520 BACON ST <br />STOCKTON, CA 95205 <br />End of Report
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