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BILLING_2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0521851
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BILLING_2018
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Entry Properties
Last modified
4/20/2020 1:18:53 PM
Creation date
4/20/2020 1:18:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2018
RECORD_ID
PR0521851
PE
1635
FACILITY_ID
FA0016397
FACILITY_NAME
LA ILUSION #8S69343
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQITIN COUNTY ENVIRONMENTAL HEALTFI DEPARTMENT <br />1868 E. HazeIton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1635 - MOBILE FOOD PREPARATION UNIT (MFPU) # S191025 <br />Permit ID # PT0014766 for Record ID # PR0521851 <br />VEHICLE LIC # 8S69343 <br />Valid From 1/1/2019 To 12/31/2019 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: VARELA, SALVADOR <br />DBA: LA ILUSION <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LA ILUSION #8S69343 <br /> Facility ID FA0016397 <br />620 S SACRAMENTO ST <br /> Account ID AR0028856 <br />LODI, CA 95240 <br /> Issued 11/15/2018 <br />Billing Address: ATTN : SALVADOR VARELA <br />LA ILUSION #8S69343 <br />942 WOODROW ST <br />LODI, CA 95240-4321 <br />7016. rpt
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