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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544948
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Entry Properties
Last modified
2/7/2024 12:29:35 PM
Creation date
5/22/2020 10:18:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544948
PE
1635
FACILITY_ID
FA0025556
FACILITY_NAME
MARY'S TAQUERIA #4SP4071
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 JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•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(EFPU) <br /> Permit ID#PT0027159 for Record ID# PR0544948 <br /> VEHICLE LIC#4SP4071 <br /> Valid From 1/1/2024 To 12/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ALEJANDREZ, MARICELA SANDOVAL <br /> DBA: MARY'S TAQUERIA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MARY'S TAQUERIA#4SP4071 <br /> Facility ID FA0025556 <br /> 620 S SACRAMENTO ST Account ID AR0048280 <br /> LODI, CA 95240 Issued 12/18/2023 <br /> Billing Address: ATTN : ALEJANDREZ, JERARDO <br /> MARY'S TAQUERIA#4SP4071 <br /> 25488 N HWY 99 <br /> ACAMPO, CA 95220 <br /> combinedrpt <br /> End of report <br />
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