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BILLING_2015
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SEVENTH
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1600 - Food Program
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PR0539780
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BILLING_2015
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Entry Properties
Last modified
4/24/2020 9:06:25 AM
Creation date
4/24/2020 9:05:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2015
RECORD_ID
PR0539780
PE
1633
FACILITY_ID
FA0022755
FACILITY_NAME
ELOTE SPOT #3 (3 VEH)
STREET_NUMBER
500
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
MODESTO
Zip
95354
CURRENT_STATUS
01
SITE_LOCATION
500 SEVENTH ST STE D
QC Status
Approved
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SShih
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EHD - Public
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SAN JOAQULN COUNTY ENVIRONMENTAL HEALTH 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 - 1633 - FOOD 'VEHICLE/CART (LTD FOOD PREP) # S152278 <br />Permit ID # PT0024473 for Record ID # PR0539780 <br />VEHICLE LIC # 4MY5927 <br />Valid From 1/13/2015 To 12/3112015 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: ALVAREZ, LUIS A <br />DBA: MANDOS CORN ROASTER <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />Billing Address: <br />="4, --• <br />MANDOS CORN ROASTER #4MY5927 <br />201 PRIMO WAY <br />MODESTO, CA 95351 <br />ATTN : ALVAREZ, LUIS A <br />MANDOS CORN ROASTER #4MY5927 <br />PO BOX 534 <br />WESTLEY, CA 95387 <br />Facility ID FA0022755 <br />Account ID AR0041699 <br />Issued 1/21/2015
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