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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546436
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Entry Properties
Last modified
7/5/2023 1:52:27 PM
Creation date
2/11/2021 2:40:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546436
PE
1635
FACILITY_ID
FA0026317
FACILITY_NAME
TEQUILEROS TAQUERIA #4TR3170
STREET_NUMBER
1301
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95219
APN
04529028
CURRENT_STATUS
01
SITE_LOCATION
1301 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
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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 - 1635-MOBILE FOOD PREPARATION UNIT(MFPU)#S213215 <br /> Permit ID #PT0027789 for Record ID # PR0546436 <br /> VEHICLE LIC #4TR3170 <br /> Valid From 12/18/2020 To 12/31/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GOMEZ, EDGAR <br /> DBA: TEQUILEROS TAQUERIA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Reulated Facility:Y TEQUILEROS TAQUERIA Facility ID FA0026317 <br /> Account ID AR0050001 <br /> 1301 S SACRAMENTO ST Issued 1/15/2021 <br /> LODI, CA 95219 <br /> Billing Address: ATTN : GOMEZ, EDGAR <br /> TEQUILEROS TAQUERIA <br /> 2819 W MARCH LN B8 <br /> STOCKTON, CA 95219 <br /> 7016.rpt <br />
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