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BILLING_BILLING 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544660
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BILLING_BILLING 2020
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Entry Properties
Last modified
5/28/2020 10:38:43 AM
Creation date
5/28/2020 10:37:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
BILLING 2020
RECORD_ID
PR0544660
PE
1634
FACILITY_ID
FA0025385
FACILITY_NAME
MATTIE'S WAY ICE CREAM #Y521549
STREET_NUMBER
3412
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14339016
CURRENT_STATUS
01
SITE_LOCATION
3412 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
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 Turkatte, R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1634-FOOD VEHICLE/CART (PREPKGD ONLY)#S205515 <br /> Permit ID # PT0027000 for Record ID #PR0544660 <br /> VEHICLE LIC #Y521549 <br /> Valid From 1/1/2020 To 12/31/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: TRAVIS, RODRICK <br /> DBA: MATTIE'S WAY ICE CREAM <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MATTIE'S WAY ICE CREAM#Y521549 Facility ID FA0025385 <br /> 3412 E MINER AVE Account ID AR0047819 <br /> STOCKTON, CA 95205 Issued 3/27/2020 <br /> Billing Address: ATTN : TRAVIS, RODRICK <br /> MATTIE'S WAY ICE CREAM#Y521549 <br /> 2921 PHELPS ST <br /> STOCKTON, CA 95206 <br /> 7016.rpt <br />
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