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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MINER
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3412
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1600 - Food Program
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PR0546446
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Last modified
2/11/2021 2:49:28 PM
Creation date
2/11/2021 2:48:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546446
PE
1634
FACILITY_ID
FA0026325
FACILITY_NAME
KS ICE CREAM #5R65157
STREET_NUMBER
3412
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14339016
CURRENT_STATUS
01
SITE_LOCATION
3412 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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k 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 - 1634-FOOD VEHICLE/CART(PREPKGD ONLY)#S213266 <br /> Permit ID #PT0027799 for Record ID # PR0546446 <br /> VEHICLE LIC #5R65157 <br /> Valid From 12/29/2020 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: Gurmeet Singh Basra <br /> DBA: KS ICE CREAM#5R65157 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KS ICE CREAM#5R65157 Facility ID FA0026325 <br /> Account ID AR0050009 <br /> 3412 E MINER AVE <br /> STOCKTON, CA 95205 Issued 1/15/2021 <br /> Billing Address: ATTN : BASRA, GURMEET S <br /> KS ICE CREAM#5R65157 <br /> 2461 GIBRALTER DR <br /> MANTECA, CA 95337 <br /> 7016.rpt <br />
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