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1600 - Food Program
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PR0545986
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Entry Properties
Last modified
3/7/2024 10:00:34 AM
Creation date
7/23/2020 3:33:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0545986
PE
1633
FACILITY_ID
FA0025810
FACILITY_NAME
KONA ICE (3 VEHS)
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16904012
CURRENT_STATUS
01
SITE_LOCATION
1717 S UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
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 /> Linda T11rkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1633-FOOD VEHICLE/CART(LTD FOOD PREP)#S205553 <br /> Permit ID#PT0027541 for Record ID#PR0545986 <br /> VEHICLE LIC#4SU7868 <br /> Valid From 7/3/2020 To 12/31/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SPENCER, BERNADETTE&JOSEPH <br /> DBA: KONA ICE OF RIPON <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SPENCERS SHAVED ICE LLC (3 VERS) Facility Io FA0025810, <br /> 1717 S UNION ST Account ID AR0048826 <br /> STOCKTON, CA 95206 Issued 7/3/2020 <br /> Billing Address: ATTN : SPENCER, BERNADETTE &JOE <br /> SPENCERS SHAVED ICE LLC (3 VEHS) <br /> PO BOX 1371 <br /> RIPON, CA 95366. <br /> 7016.rpt <br />
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