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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CLOVER
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563
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1600 - Food Program
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PR0546968
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BILLING_2021
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Entry Properties
Last modified
6/7/2021 10:58:49 AM
Creation date
6/7/2021 10:14:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0546968
PE
1681
FACILITY_ID
FA0026613
FACILITY_NAME
KAY'S CREATION
STREET_NUMBER
563
Direction
W
STREET_NAME
CLOVER
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
563 W CLOVER RD
P_LOCATION
03
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0050658 k_reoligio@yahoo.com;
EmailSent
6/7/2021 10:18:49 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0546968
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 1681 COMMISSARY(VEHICLE/CART) <br /> Permit ID# PT0028112 for Record ID# PR0546968 <br /> Valid From 5/26/2021 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: TABAR, KAREN R <br /> DBA: KAY'S CREATIONS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KAY'S CREATION Facility ID FA0026613 <br /> 563 W CLOVER RD Account ID AR0050658 <br /> TRACY, CA 95376 Issued 6/7/2021 <br /> Billing Address: ATTN : TABAR, KAREN R <br /> KAY'S CREATION <br /> 535 W CANCION CT <br /> MOUNTAIN HOUSE, CA 95391 <br /> 7024.rpt End of report <br />
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