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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541705
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Entry Properties
Last modified
1/31/2024 2:30:44 PM
Creation date
2/18/2021 3:15:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0541705
PE
1635
FACILITY_ID
FA0022981
FACILITY_NAME
PENAS TAQUERIA (3 VEHS)
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 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. 4 Stockton,CA 95205-6232 • Phone (209)468-3420 <br /> Jasjit Kang,RE.H.S,Director <br /> ENVIRONMENTAL HEALTH <br /> PERNUT TO OPERATE - 1635-MOBILE FOOD PREPARATION UNIT(MFPU)# S213253 <br /> Permit ID #PT0025551 for Record ID #PR054170.5 <br /> VEHICLE LIC #4PW7834 <br /> Valid From 1/1/2021 To 12/3V2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PENA, MARIA S <br /> DBA: PENAS TAQUERIA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: PENAS TAQUERIA#4PW7834팪P1 Facility io FA0022981 <br /> 620 S SACRAMENTO ST. <br /> Account I AR0042149 <br /> LODI, CA 95240 issued 2111/2021 <br /> Billing Address: ATTN . PENA, MARIA S <br /> PENAS TAQUERIA#4PW7834 팪P1 <br /> 537 SWALLOW LN <br /> LODI, CA 95240 <br /> 7D16.rpt. <br />
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