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1600 - Food Program
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PR0541721
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Last modified
6/15/2021 3:21:28 PM
Creation date
7/8/2020 10:46:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0541721
PE
1635
FACILITY_ID
FA0023916
FACILITY_NAME
MI MAZATLAN #6S56996
STREET_NUMBER
730
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14723003
CURRENT_STATUS
02
SITE_LOCATION
730 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave a Stockton, CA 95205-6232 a Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1635 - MOBILE FOOD PREPARATION UNIT (1MIFPU) # S213497 <br />Permit ID # PT0025562 for Record ID # PR0541721 <br />VEHICLE LIC # 6S56996 <br />Valid From 4/1/2021 To 12/31/2021 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause <br />PERMIT(S) Valid only for: ROBLES-VERDUGO, SANDRA <br />DBA: MI MAZATLAN <br />MUST BE <br />Regulated Facility: MI MAZATLAN #6556996 <br />730 S CALIFORNIA ST <br />STOCKTON, CA 95203 <br />Billing Address: ATTN : ROBLES-VERDUGO, SANDRA <br />MI MAZATLAN #6S56996 <br />6952 ALLEGHENY PL <br />STOCKTON, CA 95219 <br />701e.tpt <br />THE <br />Facility ID FA0023916 <br />Account lD AR0044351 <br />issued 4/7/2021 <br />End W Report <br />
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