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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546379
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Entry Properties
Last modified
1/21/2021 3:31:34 PM
Creation date
1/21/2021 3:30:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546379
PE
1613
FACILITY_ID
FA0026285
FACILITY_NAME
DUTCH BROS COFFEE
STREET_NUMBER
1105
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
1105 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\jcastaneda
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 Kang,R.E.H.S,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1613 FOOD EST 501-1000 SQ FT W/O SEATING <br /> Permit ID# PT0027750 for Record ID#PR0546379 <br /> Valid From 11/30/2020 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: DUTCH MAFIA LLC <br /> DBA: DUTCH BROS LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DUTCH BROS COFFEE - Facility ID FA0026285 <br /> 1105 W YOSEMITE AVE AccountlD AR0049909 <br /> MANTECA, CA 95337 Issued 12/22/2020 <br /> Billing Address: ATTN : LEGAL DEPT <br /> DUTCH BROS COFFEE <br /> PO BOX 1929 <br /> GRANTS PASS, OR 97582 <br /> 7o24.Tt <br />
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