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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DARLENE
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475
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1600 - Food Program
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PR0518631
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BILLING_2021
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Entry Properties
Last modified
6/9/2021 11:34:18 AM
Creation date
6/9/2021 11:21:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0518631
PE
1632
FACILITY_ID
FA0014021
FACILITY_NAME
TOM HAWKINS SCHOOL KITCHEN
STREET_NUMBER
475
STREET_NAME
DARLENE
STREET_TYPE
LN
City
TRACY
Zip
95377
APN
24827047
CURRENT_STATUS
01
SITE_LOCATION
475 DARLENE LN
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0023731 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0518631
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 1632 EXEMPT FOOD <br />Permit ID # PT0012155 for Record ID # PR0518631 <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 />JEFFERSON SCHOOL DIST <br />Regulated Facility: <br />475 DARLENE LN <br />TRACY, CA 95377 <br />Facility ID <br />Account ID <br />Issued <br />FA0014021 <br />AR0023731 <br />6/9/2021 <br />TOM HAWKINS SCHOOL KITCHEN <br />JEFFERSON SCHOOL DISTRICTATTN : Billing Address: <br />TOM HAWKINS SCHOOL KITCHEN <br />1219 WHISPERING WIND DR <br />TRACY, CA 95377 <br />End of report7024.rpt
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