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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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PR0540650
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BILLING_2018
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Entry Properties
Last modified
4/23/2020 4:03:10 PM
Creation date
4/23/2020 4:02:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2018
RECORD_ID
PR0540650
PE
1635
FACILITY_ID
FA0023247
FACILITY_NAME
TAQUERIA COSTA GRANDE #98535W1
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 JOAQUL COUNTY ENVIRONMENTAL HEALAEPARTMENT <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 - 1635 - MOBILE FOOD PREPARATION UNIT (MFPU) # S181490 <br />Permit ID # PT0024946 for Record ID # PR0540650 <br />VEHICLE LIC # 98535W1 <br />Valid From 4/10/2018 To 12/31/2018 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: MENDOZA, DALIA VILLEGAS <br />DBA: TAQUERIA COSTA GRANDE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: TAQUERIA COSTA GRANDE #98535W1 Facility ID FA0023247 <br />1301 S SACRAMENTO ST <br />Account ID AR0042784 <br />LODI, CA 95240 <br />Issued 4/12/2018 <br />Billing Address: ATTN : DANIEL & DALIA VILLEGAS <br />TAQUERIA COSTA GRANDE #98535W1 <br />5482 CORA POST RD <br />LODI, CA 95240 <br />7016.rpt
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