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1600 - Food Program
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PR0503755
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Entry Properties
Last modified
6/26/2020 5:41:30 PM
Creation date
6/26/2020 1:23:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0503755
PE
1615
FACILITY_ID
FA0005969
FACILITY_NAME
NUTRISHOP
STREET_NUMBER
1118
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21821016
CURRENT_STATUS
02
SITE_LOCATION
1118 N MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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� 1 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1615 -RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Permit ID# PT0007130 for Record ID# PR0503755 <br /> Valid From 1/31/2012 To 1/31/2013 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LARSON, GARRETT D <br /> DBA: NUTRISHOP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: NUTRISHOP <br /> Facility ID FA0005969 <br /> 1118 N MAIN ST <br /> Account ID AR0007019 <br /> MANTECA CA 95336 Issued 3/26/2012 <br /> Billing Address: ATTN : GARRETT LARSON <br /> NUTRISHOP <br /> 1217 ROYALLE PL <br /> MANTECA CA 95337 <br /> 7020.rpt <br />
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