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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SACRAMENTO
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1301
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1600 - Food Program
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PR0526543
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Entry Properties
Last modified
3/22/2024 2:50:45 PM
Creation date
2/19/2021 3:23:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0526543
PE
1635
FACILITY_ID
FA0018733
FACILITY_NAME
LA SABROSITA #3 (#5W86371)
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
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br />THIS FOFtM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />; <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton 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 (VIFPU) <br />Permit ID # PT0018538 for Record ID # PR0526543 <br />VEHICLE LIC # 5W86371 <br />Valid From 1 /1 /2024 To 12/31/2024 <br />' DUPLICATE ' <br />PERMIT(s) Valid only for: RUIZ, SERGIO <br />DBA: LA SABROSITA <br />Regulated Facility: LA SABROSITA #3 (#5W86371) <br />Facility ID FA0018733 <br />1301 S SACRAMENTO ST <br />Account ID AR0033258 <br />LODI, CA 95240 <br />Issued 2/20/2024 <br />7016 rpt <br />Billing Address: ATTN : SERGIO RUIZ <br />LA SABROSITA #3 (#5W86371) <br />435 PERLEGOS WAY <br />LODI, CA 95240 <br />End of Report
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