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EHD Program Facility Records by Street Name
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GRANT LINE
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1600 - Food Program
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PR0544098
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Entry Properties
Last modified
4/29/2020 8:41:46 AM
Creation date
4/29/2020 8:40:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544098
PE
1633
FACILITY_ID
FA0025082
FACILITY_NAME
ANTOJITOS LOCOS #4DX2995
STREET_NUMBER
340
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
340 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Linda Tnrkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1633-FOOD VEHICLE/CART(LTD FOOD PREP)#S191421 <br /> Permit ID # PT0026459 for Record ID #PR0544098 <br /> VEHICLE LIC #4DX2995 <br /> Valid From 2/4/2019 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: BAZAN CORONA, REYNA <br /> DBA: ANTOJITOS LOCOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ANTOJITOS LOCOS#4DX2995 Facility ID FA0025082Account ID AR0047117 <br /> 340 W GRANT LINE RD <br /> TRACY, CA 95376 issued 2/5/2019 <br /> Biding Address: ATTN : BAZAN CORONA, REYNA <br /> ANTOJITOS LOCOS#4DX2995 <br /> 2115 BRISTOL AVE <br /> STOCKTON, CA 95204 <br /> 7016.rpt <br />
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