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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0530128
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Last modified
5/10/2022 12:42:23 PM
Creation date
2/19/2021 2:54:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0530128
PE
1636
FACILITY_ID
FA0019800
FACILITY_NAME
LONGOS PRODUCE WATERMELONS #46093G1
STREET_NUMBER
1119
Direction
S
STREET_NAME
STANISLAUS
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16710604
CURRENT_STATUS
01
SITE_LOCATION
1119 S STANISLAUS ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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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) 46&3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERIVHT TO OPERATE - PE 1636 - LTD FOOD VEHICLE (PRODUCE/WHOLE FISH) # S227440 <br />Permit ID # PT0020553 for Record ID # PRO530128 <br />VEHICLE LIC # 46093G1 <br />Valid From 1/1/2022 To 12/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause <br />PERMIT(s) Valid only for: HERNANDEZ, ISMAEL M <br />DBA: LONGOS PRODUCE WATERMELONS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LONGOS PRODUCE WATERMELONS #46093G1 FacilitylD FA0019800 <br />1119 S STANISLAUS ST Account ID AR0035237 <br />STOCKTON, CA 95206 issued 2/9/2022 <br />Billing Address: ATTN : ISMAEL HERNANDEZ <br />LONGOS PRODUCE WATERMELONS #46093G1 <br />1119 S STANILAUS ST <br />STOCKTON, CA 95206 <br />7016.mt End of Report <br />
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