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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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SEVENTH
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1600 - Food Program
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PR0540313
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Entry Properties
Last modified
1/6/2021 4:58:38 PM
Creation date
1/6/2021 4:49:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0540313
PE
1635
FACILITY_ID
FA0023044
FACILITY_NAME
D-MEAT BARREL #4NK5262
STREET_NUMBER
500
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
MODESTO
Zip
95354
CURRENT_STATUS
02
SITE_LOCATION
500 SEVENTH ST
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN JOAQUI. —OUNTY ENVIRONMENTAL HEAL1 JEPARTMENT <br />1868 E. Haze1ton 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 (MFPU) # S152526 <br />Permit ID # PT0024798 for Record ID # PR0540313 <br />VEHICLE LIC # 4NK5262 <br />Valid From 7/13/2015 To 12/31/2015 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: DEGRAFF, DONALD J <br />DBA: LA COMISARIA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />Billing Address: <br />LA COMISARIA #4NK5262 <br />500 SEVENTH ST <br />MODESTO, CA 95354 <br />ATTN : DEGRAFF, DONALD J <br />LA COMISARIA #4NK5262 <br />1570 E F ST #A300 <br />OAKDALE, CA 95361 <br />Facility ID FA0023044 <br />Account ID AR0042274 <br />Issued 7/13/2015 <br />7016 rpt
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