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1600 - Food Program
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PR0546328
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Last modified
12/3/2020 8:42:49 PM
Creation date
12/3/2020 4:47:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546328
PE
1616
FACILITY_ID
FA0026248
FACILITY_NAME
LOPEZ BAKERY
STREET_NUMBER
2018
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
2018 E MAIN ST
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> a 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 0 Phone(209).468-3420 <br /> Jasjit Kang,RE.H:S,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1616 RETAIL MARKET< 1000 SQ FT W/FOOD PREP <br /> Permit ID# PT0027708 for 'Record ID# PR0546328 <br /> Valid From 11/5/2020 To 11/30/2021 <br /> PERMITS TO OPERATE we NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: LOPEZ PEREZ, DANIEL DE JESUS <br /> DBA: LOPEZ BAKERY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LOPEZ BAKERY Facility ID FA0026248 <br /> 2018 E MAIN ST AccountiD AR0049807 <br /> STOCKTON, CA 95205_ issued 11/13/2020 <br /> Billing Address: ATTN : LOPEZ PEREZ, DANIEL DE.JESUS <br /> LOPEZ BAKERY <br /> 2018 E MAIN ST <br /> STOCKTON, CA 95205 <br /> 7o24.Rt _ <br />
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