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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TRACY
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3236
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1600 - Food Program
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PR0546274
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Entry Properties
Last modified
11/4/2020 4:47:29 PM
Creation date
11/4/2020 4:44:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546274
PE
1620
FACILITY_ID
FA0026204
FACILITY_NAME
G2 SUPPLEMENTS
STREET_NUMBER
3236
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
3236 N TRACY BLVD
P_LOCATION
03
QC Status
Approved
Scanner
JCastaneda
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 /> Jasjit Kang,1LE.H.S,Direcfor <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE:- 1620 RETAIL MKT 26-300 SQ FT(INCIDENTAL FOODS) <br /> Permit ID# PT0027680 for Record ID#PR0546274 <br /> Valid From 10/20/2020 To 10/37/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED.or REVOKED for cause- <br /> PERM IT(s) <br /> ausePERMIT(s)Valid only for: SINGH,.MOHINDER <br /> DBA: G2 SUPPLEMENTS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: G2 SUPPLEMENTS Facility ID FA0026204 <br /> 3236 N TRACY BLVD AccountJD AR0049708 <br /> TRACY, CA 95376 Issued 10/21/2020 <br /> Billing Address: ATTN : SINGH, MOHINDER <br /> G2 SUPPLEMENTS <br /> 3236 ORMONDE CT <br /> TRACY, CA 95377 <br /> 7o24.rpt <br />
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