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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0543515
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Entry Properties
Last modified
1/7/2022 10:24:04 AM
Creation date
2/19/2021 3:15:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0543515
PE
1635
FACILITY_ID
FA0024704
FACILITY_NAME
LAS PERLAS #19503W1 & #5B16106
STREET_NUMBER
1301
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04529028
CURRENT_STATUS
01
SITE_LOCATION
1301 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
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)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1635-MOBILE FOOD PREPARATION UNIT(1MIFPU)#S227138 <br /> Permit ID #PT0026168 for Record ID #PRO543515 <br /> VEHICLE LIC#19503W1 <br /> Valid From 111/2022 To 12/31/2022 <br /> PERMITS TO OPERATE me NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: COBIAN MORALES, MAN RIQUE G <br /> THIS FORM MUST EE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LAS PERLAS #19503W1 Facility ID FA0024704 <br /> 1301 S SACRAMENTO ST Account ID AR0046235 <br /> LODI, CA 95240 issued 12/3/2021 <br /> Billing Address: ATTN : COBIAN MORALES, MANRIQUE G <br /> LAS PERLAS#19503W1 <br /> 517 MOCKINGBIRD DR <br /> LODI, CA 95240 <br /> 701amt End M Report <br />
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