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1600 - Food Program
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PR0507231
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Entry Properties
Last modified
7/16/2020 8:15:46 PM
Creation date
7/16/2020 2:39:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0507231
PE
1615
FACILITY_ID
FA0007746
FACILITY_NAME
BABY NUTRITION
STREET_NUMBER
110
STREET_NAME
SYCAMORE
STREET_TYPE
DR
City
MANTECA
Zip
95337
APN
21721020
CURRENT_STATUS
02
SITE_LOCATION
110 SYCAMORE DR
P_LOCATION
04
P_DISTRICT
003
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 - 1615 RETAIL MKT<2000 SQ FT (PREPKGD/LTD PREP) <br /> Permit ID# PT0009279 for Record ID#PR0507231 <br /> Valid From 8/1/2007 To 7/31/2008 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: AZIZ,ZAYA MICHEL <br /> DBA: BABY NUTRITION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BABY NUTRITION Facility ID FA0007746 <br /> 110 SYCAMORE DR Account ID AR0013711 <br /> MANTECA, CA 95337 Issued 7/6/2007 <br /> Billing Address: ATTN : ZAYA MICHEL AZIZ <br /> BABY NUTRITION <br /> 110 SYCAMORE DR <br /> MANTECA, CA 95337 <br /> 7024.rpt <br />
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