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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0507954
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Entry Properties
Last modified
12/6/2023 10:52:53 AM
Creation date
1/20/2021 4:49:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0507954
PE
1635
FACILITY_ID
FA0000756
FACILITY_NAME
KCS CHINESE FOOD #1VX3850
STREET_NUMBER
442
STREET_NAME
KANSAS
STREET_TYPE
AVE
City
MODESTO
Zip
95356
CURRENT_STATUS
01
SITE_LOCATION
442 KANSAS AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\ymoreno
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 Kane,RE.H.S,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1635-MOBILE FOOD PREPARATION UNIT(MFPU)#S213128 <br /> Permit ID #PT0009422 for Record ID #PR0507954 <br /> VEHICLE LIC #1VX3850 <br /> Valid From 1/1/2021 To 1231/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: PHAM, DINH QUOC&TRAN,TRONG <br /> DBA: KCS CHINESE FOOD <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KCS CHINESE FOOD#1VX3850 Facility ID FA0000756 <br /> 442 KANSAS AVE Amount ID AR0000755 <br /> MODESTO, CA 95356 slued 1/1212021 <br /> Billing Address: ATTN : PHAM, DINH QUOC &TRAN, TRONG <br /> KCS CHINESE FOOD#1VX3850 <br /> 12873 LIVE OAK RD <br /> LODI, CA 95240-9448 <br /> 7016.rpt - <br />
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