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BILLING_2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GLENN
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1600 - Food Program
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PR0541915
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BILLING_2017
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Entry Properties
Last modified
4/13/2020 3:34:43 PM
Creation date
4/13/2020 3:33:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2017
RECORD_ID
PR0541915
PE
1636
FACILITY_ID
FA0024044
FACILITY_NAME
JR PRODUCE
STREET_NUMBER
1534
STREET_NAME
GLENN
STREET_TYPE
AVE
City
MODESTO
Zip
95358
CURRENT_STATUS
02
SITE_LOCATION
1534 GLENN AVE
P_LOCATION
98
QC Status
Approved
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SShih
Tags
EHD - Public
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SAN JOAQUIN C.-,)NTY ENVIRONMENTAL HEALTH Dr x-ARTMENT <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 - 1636-LTD FOOD VEHICLE (PRODUCE/WHOLE FISH)#S174508 <br /> Permit ID # PT0025667 for Record ID # PR0541915 <br /> VEHICLE LIC #3LVM132 <br /> Valid From 5/19/2017 To 12/3112017 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MAGANA HERNANDEZ, RUBEN <br /> DBA: JR PRODUCE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JR PRODUCE Facility ID FA0024044 <br /> 1534 GLENN AVE Account ID AR0044628 <br /> MODESTO, CA 95358 Issued 5/19/2017 <br /> Billing Address: ATTN : MAGANA HERNANDEZ, RUBEN <br /> JR PRODUCE <br /> 1534 GLENN AVE <br /> MODESTO, CA 95358 <br /> 7016.rpt <br />
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