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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MINER
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3412
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1600 - Food Program
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PR0535829
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Entry Properties
Last modified
1/5/2022 8:49:16 AM
Creation date
9/29/2020 2:27:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0535829
PE
1634
FACILITY_ID
FA0020635
FACILITY_NAME
PAPA ICE CREAM #6KQJ686
STREET_NUMBER
3412
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14339016
CURRENT_STATUS
01
SITE_LOCATION
3412 E MINER AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIWTY ENVIRONMENTAL HEALIOEPARTMENT <br /> ' 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Linda'fbrkatte,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1634- FOOD VEHICLE/CART (PREPKGD ONLY)#S181190 <br /> Permit ID # PT0021985 for Record ID # PR0535829 <br /> VEHICLE LIC # 6KQJ686 <br /> Valid From 12/18/2017 To 12/31/2018 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: ASIF, MAYRA <br /> DBA: PAPA ICE CREAM <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: PAPA ICE CREAM #6KQJ686 Facility(D FA0020635 <br /> 3588 E CARPENTER RD Account ID AR0036977 <br /> STOCKTON. CA 95215 issued 1211812017 <br /> Billing Address: ATTN : ASIF, MAYRA <br /> PAPA ICE CREAM #6KQJ686 <br /> 5121 E WATERLOO RD <br /> STOCKTON, CA 95215 <br /> 7016.rpt <br />
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