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1600 - Food Program
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PR0544338
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Entry Properties
Last modified
1/31/2024 2:36:39 PM
Creation date
4/24/2020 9:25:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544338
PE
1635
FACILITY_ID
FA0026135
FACILITY_NAME
LA DONA #41948P1
STREET_NUMBER
1301
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04529028
CURRENT_STATUS
01
SITE_LOCATION
1301 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave •Stockton,CA 952056232•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)#S239453 <br /> Permit ID #PT0026856 for Record ID # PRO544338 <br /> VEHICLE LIC #41948P1 <br /> Valid From 1/1/2023 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MARIN-PAEZ,JUAN LUIS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA DONA#41948P1 Facility ID FA0026135 <br /> 1301 S SACRAMENTO ST Account ID AR0049540 <br /> LODI, CA 95240 Issued 1/24/2023 <br /> Billing Address: ATTN : MARIN-PAEZ, JUAN LUIS <br /> LA DONA#41948P1 <br /> 115 N DEL MAR AVE <br /> STOCKTON, CA 95215 <br /> ]016Tt <br /> End of Report <br />
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