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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BRUELLA
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17238
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1600 - Food Program
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PR0527564
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BILLING_2021
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Entry Properties
Last modified
6/9/2021 11:49:08 AM
Creation date
6/9/2021 11:37:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0527564
PE
1632
FACILITY_ID
FA0018673
FACILITY_NAME
HIS PLACE
STREET_NUMBER
17238
Direction
N
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
VICTOR
Zip
95253
APN
05109020
CURRENT_STATUS
01
SITE_LOCATION
17238 N BRUELLA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0033084 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0527564
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 # PT0019321 for Record ID # PR0527564 <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 />OUTREACH MINISTRIES INTERN'L <br />HIS PLACE <br />Regulated Facility: <br />17238 N BRUELLA RD <br />VICTOR, CA 95253 <br />Facility ID <br />Account ID <br />Issued <br />FA0018673 <br />AR0033084 <br />6/9/2021 <br />HIS PLACE <br />SUMSTINE, SHERRIATTN : Billing Address: <br />HIS PLACE <br />715 S CENTRAL AVE <br />LODI, CA 95240 <br />End of report7024.rpt
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