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1600 - Food Program
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PR0535495
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Last modified
6/26/2020 5:45:57 PM
Creation date
6/26/2020 1:29:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0535495
PE
1620
FACILITY_ID
FA0020468
FACILITY_NAME
HASH SMOKE SHOP
STREET_NUMBER
1164
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21821011
CURRENT_STATUS
02
SITE_LOCATION
1164 N MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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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 - 1620- RETAIL MKT<25 SQ FT (INCIDENTAL FOODS) <br /> Permit ID # PT0021735 for Record ID # PR0535495 <br /> Valid From 10/18/2010 To 10/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: EBADI INC <br /> DBA: HASH SMOKE SHOP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: HASH SMOKE SHOP Facility ID FA0020468 <br /> 1164 N MAIN ST Account ID AR0036579 <br /> MANTECA CA 95336 Issued 10/22/2010 <br /> Billing Address: ATTN : EBADI, SHERSHAH <br /> HASH SMOKE SHOP <br /> 1164 N MAIN ST <br /> MANTECA CA 95336 <br /> 7oz7.rpt <br />
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