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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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PACIFIC
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5939
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1600 - Food Program
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PR0160062
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BILLING_2021
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Entry Properties
Last modified
6/8/2021 2:49:03 PM
Creation date
6/8/2021 2:46:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0160062
PE
1621
FACILITY_ID
FA0002230
FACILITY_NAME
PACIFIC AVENUE LOUNGE
STREET_NUMBER
5939
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10812030
CURRENT_STATUS
01
SITE_LOCATION
5939 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0002242 jnakashima@pacificbowl.com;rnakashima@pacificbowl.com
EmailSent
6/8/2021 2:49:03 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160062
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 1621 BAR W/O FOOD PREP <br />Permit ID # PT0002222 for Record ID # PR0160062 <br />Valid From 7/1/2021 To 6/30/2022 <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 />NAKASHIMA, REN <br />PACIFIC AVENUE BOWL <br />Regulated Facility: <br />5939 PACIFIC AVE <br />STOCKTON, CA 95207 <br />Facility ID <br />Account ID <br />Issued <br />FA0002230 <br />AR0002242 <br />6/8/2021 <br />PACIFIC AVENUE LOUNGE <br />PACIFIC AVENUE LOUNGEATTN : Billing Address: <br />PACIFIC AVENUE LOUNGE <br />5939 PACIFIC AVE <br />STOCKTON, CA 95207 <br />End of report7024.rpt
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