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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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PRECISSI
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4662
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1600 - Food Program
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PR0517526
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BILLING_2021
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Entry Properties
Last modified
1/4/2022 2:47:10 PM
Creation date
4/23/2021 8:17:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0517526
PE
1615
FACILITY_ID
FA0013488
FACILITY_NAME
FRESH PRODUCE NUTRITION
STREET_NUMBER
4662
STREET_NAME
PRECISSI
STREET_TYPE
LN
City
STOCKTON
Zip
95207
APN
11030023
CURRENT_STATUS
01
SITE_LOCATION
4662 PRECISSI LN STE 150
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
EmailAddr
AR0022568 YUSSIFCO@YAHOO.COM;RUBY@4WIC.COM
EmailSent
4/23/2021 10:08:21 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0517526
Tags
EHD - Public
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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1615 RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Permit ID # PT0011665 for Record ID # PR0517526 <br />Valid From 6/1/2021 To 5/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />SULAIMAN, RODMAN-YUSSIF <br />FRESH PRODUCE NUTRITION <br />Regulated Facility: <br />4662 PRECISSI LN #150 <br />STOCKTON, CA 95207 <br />Facility ID <br />Account ID <br />Issued <br />FA0013488 <br />AR0022568 <br />4/22/2021 <br />FRESH PRODUCE NUTRITION <br />SULAIMAN, RODMAN-YUSSIFATTN : Billing Address: <br />FRESH PRODUCE NUTRITION <br />4662 PRECISSI LN STE. 150 <br />STOCKTON, CA 95207 <br />End of report7024.rpt
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