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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546347
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Entry Properties
Last modified
11/19/2024 10:19:10 AM
Creation date
12/29/2020 12:39:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546347
PE
1617
FACILITY_ID
FA0026263
FACILITY_NAME
TAMALES AND BAKERY DON CARLOS
STREET_NUMBER
313
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
313 W ELEVENTH ST
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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y SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1617 RETAIL MARKET>1000 SQ FT W/FOOD PREP <br /> Permit]D#PT0027726 .for Record ID# PR0546347 <br /> Valid From 11/18/2020 To 11/30/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: LARA, CARLOS <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TAMALES AND BAKERY DON CARLOS Facility ID FA0026263 <br /> 313 W ELEVENTH ST Account iD AR0049846 <br /> TRACY, CA 95376 issued 11/20/2020 <br /> Billing Address: ATTN : LARA, CARLOS <br /> TAMALES AND BAKERY DON CARLOS <br /> 205 W 21 ST ST <br /> TRACY, CA 95376 <br /> 7o24.rpt <br />
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