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EHD Program Facility Records by Street Name
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SISKIYOU
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10652
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1600 - Food Program
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PR0545029
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Entry Properties
Last modified
3/2/2023 4:55:59 PM
Creation date
5/29/2020 8:59:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0545029
PE
1636
FACILITY_ID
FA0025042
FACILITY_NAME
CASA DE LA MIEL
STREET_NUMBER
10652
STREET_NAME
SISKIYOU
STREET_TYPE
LN
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
10652 SISKIYOU LN
P_LOCATION
01
QC Status
Approved
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SJGOV\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 />Jasjit Kang, RE.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1636 - LTD FOOD VEHICLE (PRODUCEIWHOLE FISH) # S239099 <br />Permit ID # PT0027213 for Record ID # PR0545029 <br />VEHICLE LIC # 23859131 <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: JIMENEZ NERIA, MARIA CRISTINA <br />DBA: CASA DE LA MIEL <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: CASA DE LA MIEL Facility ID FA0025042 <br />10652 SISKIYOU LN <br />AcccuntlD AR0047036 <br />STOCKTON, CA 95209 Issued 12/21/2022 <br />Billing Address: ATTN: JIMENEZNERIA,MARIACRISTINA <br />CASA DE LA MIEL <br />10652 SISKIYOU LN <br />STOCKTON, CA 95209 <br />7016.rp1 End of Repon <br />
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