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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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4663
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1600 - Food Program
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PR0545503
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BILLING_2021
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Entry Properties
Last modified
3/24/2021 3:49:28 PM
Creation date
3/24/2021 3:46:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0545503
PE
1624
FACILITY_ID
FA0025831
FACILITY_NAME
KUNG FU TEA
STREET_NUMBER
4663
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4663 PACIFIC AVE STE G
P_LOCATION
01
QC Status
Approved - Send Email
Scanner
ADMIN
Supplemental fields
EmailAddr
AR0048864 dothuan0704@yahoo.com;tatyphan@gmail.com
EmailSent
3/24/2021 3:48:53 PM
FilePath
D:\CAPTURE\EHD\OperatingPermits
PermitRecordID
PR0545503
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# PT0027406 for Record ID# PR0545503 <br /> Valid From 4/1/2021 To 3/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DO, THUAN <br /> DBA: KUNG FU TEA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KUNG FU TEA Facility ID FA0025831 <br /> 4663 PACIFIC AVE#G Account ID AR0048864 <br /> STOCKTON, CA 95207 Issued 3/24/2021 <br /> Billing Address: ATTN : DO, THUAN <br /> KUNG FU TEA <br /> 3440 MCHENRYAVE STE D14 <br /> MODESTO, CA 95350 <br /> 7024.rpt End of report <br />
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