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EHD Program Facility Records by Street Name
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HOLLY
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1600 - Food Program
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PR0546850
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Entry Properties
Last modified
6/7/2022 3:28:43 PM
Creation date
5/19/2021 2:47:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546850
PE
1633
FACILITY_ID
FA0026537
FACILITY_NAME
THE LEMON BOX #4RZ9085
STREET_NUMBER
3900
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
3900 HOLLY DR
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
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 1633-FOOD VEHICLE/CART(LTD FOOD PREP)#S213525 <br /> Permit ID #PT0028042 for Record ID #PR0546850 <br /> VEHICLE LIC#4RZ9085 <br /> Valid From 4/28/2021 To 12/31/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MOORE-RAYGOZA, NICOLE <br /> DBA: THE LEMON BOX <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: THE LEMON BOX#4RZ9085 Facility ID FA0026537 <br /> 3900 HOLLY DR Account iD AR0050506 <br /> TRACY, CA 95304 sued q/30/2021 <br /> Billing Address: ATTN : MOORE-RAYGOZA, NICOLE <br /> THE LEMON BOX#4RZ9085 <br /> 478 S PROVIDENCE ST <br /> MOUNTAIN HOUSE, CA 95391 <br /> 7016.rp1 End of Report <br />
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