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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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133
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1600 - Food Program
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PR0161119
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BILLING_2021
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Entry Properties
Last modified
3/23/2021 10:49:14 AM
Creation date
3/23/2021 8:55:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0161119
PE
1624
FACILITY_ID
FA0000890
FACILITY_NAME
133 CLUB
STREET_NUMBER
133
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21721044
CURRENT_STATUS
01
SITE_LOCATION
133 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved - Send Email
Scanner
ADMIN
Supplemental fields
EmailAddr
AR0000887 stever22856@gmail.com;mullencampbell@gmail.com
EmailSent
3/23/2021 9:52:25 AM
FilePath
D:\CAPTURE\EHD\OperatingPermits
PermitRecordID
PR0161119
Tags
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 1624 RESTAURANT/BAR 21-50 SEATS <br /> Permit ID# PT0000890 for Record ID# PR0161119 <br /> Valid From 5/1/2021 To 4/30/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: S RAFFO LLC <br /> DBA: 133 CLUB <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 133 CLUB Facility ID FA0000890 <br /> 133 W YOSEMITE AVE Account ID AR0000887 <br /> MANTECA, CA 95336 Issued 3/23/2021 <br /> Billing Address: ATTN : RAFFO, STEVE <br /> 133 CLUB <br /> 133 W YOSEMITE AVE <br /> MANTECA, CA 95336-5601 <br /> 7024.rpt End of report <br />
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