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1600 - Food Program
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PR0505605
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Last modified
6/26/2020 2:39:36 PM
Creation date
6/26/2020 1:31:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0505605
PE
1616
FACILITY_ID
FA0006894
FACILITY_NAME
ACAPULCO ICE CREAM
STREET_NUMBER
1201
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15120513
CURRENT_STATUS
02
SITE_LOCATION
1201 E MAIN ST
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 /> 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 - 1616 RETAIL MARKET< 1000 SQ FT W/FOOD PREP <br /> Permit ID # PT0008169 for Record ID# PR0505605 <br /> Valid From 1/1/2012 To 12/31/2012 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HERNANDEZ, MARY <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ACAPULCO ICE CREAM Facility ID FA0006894 <br /> 1201 E MAIN ST Account ID AR0009697 <br /> STOCKTON, CA 95205 issued 12/1/2011 <br /> Billing Address: ATTN : MARY HERNANDEZ <br /> ACAPULCO ICE CREAM <br /> 1201 E MAIN ST <br /> STOCKTON, CA 95205 <br /> 7024 rpt <br />
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