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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MINER
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3412
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1600 - Food Program
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PR0527777
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Entry Properties
Last modified
4/28/2022 2:25:01 PM
Creation date
5/27/2021 4:51:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0527777
PE
1634
FACILITY_ID
FA0019556
FACILITY_NAME
DIAMOND ICE CREAM #8L68360
STREET_NUMBER
3412
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14339016
CURRENT_STATUS
01
SITE_LOCATION
3412 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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r a <br /> 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 1634-FOOD VEHICLE/CART(PREPKGD ONLY)#S213542 <br /> Permit ID#PT0019453 for Record ID #PR0527777 <br /> VEHICLE LIC #8L68360 <br /> Valid From 1/1/2021 To 12/31/2021 <br /> s <br /> i <br /> i <br /> j <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: MARURI, KELLI <br /> DBA: DIAMOND ICE CREAM <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DIAMOND ICE CREAM#81-68360 Facility to FA0019556 <br /> 3412 E MINER AVE Account ID AR0034805 <br /> STOCKTON, CA 95205 issued 5/20/2021 <br /> Billing Address: ATTN : MARURI, KELLI <br /> DIAMOND ICE CREAM#81-68360 <br /> 15872 FIFTH ST <br /> LATHROP, CA 95330 <br /> 7ot6.rpt <br /> .. End of Report <br />
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