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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SIXTH
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319
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1600 - Food Program
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PR0540235
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Entry Properties
Last modified
12/31/2020 10:32:15 AM
Creation date
12/31/2020 9:27:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0540235
PE
1635
FACILITY_ID
FA0023006
FACILITY_NAME
WANDERING BOBA
STREET_NUMBER
319
STREET_NAME
SIXTH
STREET_TYPE
ST
City
WEST SACRAMENTO
Zip
95605
CURRENT_STATUS
02
SITE_LOCATION
319 SIXTH ST
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUL UNTY ENVIRONMENTAL HEALT——ZPARTMENT <br /> 1868 E Hazelton Ave. *Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1635-MOBILE FOOD PREPARATION UNIT I MFPU)#S152516 <br /> Permit ID #PT0024763 for Record ID #PR0540235 <br /> Valid From 6/24/2015 To 12M/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SUAVILLO,JOANNE <br /> DBA: WANDERING BOBA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WANDERING BOBA Facility ID FA0023006 <br /> 1100 RICHARDS BLVD Account ID AR0042212 <br /> SACRAMENTO, CA 95811 issued 6/25/2015 <br /> Billing Address: ATTN : SUAVILLO, JOANNE <br /> WANDERING BOBA <br /> 6656 OSCAR CIR <br /> ELK GROVE, CA 95757 <br /> 701arpt <br />
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