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EHD Program Facility Records by Street Name
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13850
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1600 - Food Program
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PR0546853
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Entry Properties
Last modified
4/4/2024 4:04:44 PM
Creation date
5/19/2021 8:37:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546853
PE
1636
FACILITY_ID
FA0026540
FACILITY_NAME
JIMENEZ PRODUCE #8G92204
STREET_NUMBER
13850
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
13850 COPPEROPOLIS RD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
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 1636-LTD FOOD VEHICLE (PRODUCEAVHOLE FISH)#S227572 <br /> Permit ID # PT0028045 for Record ID # PR0546853 <br /> VEHICLE LIC #8G92204 <br /> Valid From 1/1/2022 To 12/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: JIMENEZ CERVANTES, MARTIN <br /> DBA: JIMENEZ PRODUCE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: lD FA0026640lity: JIMENEZ PRODUCE#8G92204 Accountll) AR0050510 <br /> 13850 COPPEROPOLIS RD <br /> STOCKTON, CA 95215 Issued 5/4/2022 <br /> Billing Address: ATTN : JIMENEZ, MARTIN <br /> JIMENEZ PRODUCE#8G92204 <br /> PO BOX 1573 <br /> LINDEN, CA 95236 <br /> 7016 rpt End of Report <br />
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