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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HOLLY
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3900
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1600 - Food Program
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PR0542152
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Entry Properties
Last modified
4/5/2024 9:40:21 AM
Creation date
7/2/2020 7:45:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0542152
PE
1633
FACILITY_ID
FA0024210
FACILITY_NAME
BARISTA BETTIES #4RD1381
STREET_NUMBER
3900
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
3900 HOLLY DR
P_LOCATION
03
QC Status
Approved
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SJGOV\ymoreno
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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,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1633-FOOD VEHICLE/CART(LTD FOOD PREP)#S239574 <br /> Permit ID #PT0025795 for Record ID #PR0542152 <br /> VEHICLE LIC #4RD1381 <br /> Valid From 1/1/2023 To 11/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BOWMAN,VANESSA <br /> DBA: BARISTA BETTIES <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BARISTA BETTIES#4RD1381 Facility lD FA0024210 <br /> 3900 HOLLY DR Account ID AR0045033 <br /> TRACY, CA 95304 Issued 3/23/2023 <br /> Billing Address: ATTN : BOWMAN, VANESSA <br /> BARISTA BETTIES#4RD1381 <br /> 16760 WOODSIDE WAY <br /> SONORA, CA 95370 <br /> 7016.rp1 End of Report <br />
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