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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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1090
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1600 - Food Program
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PR0543414
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BILLING_2021
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Entry Properties
Last modified
6/9/2021 11:47:38 AM
Creation date
6/9/2021 11:47:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0543414
PE
1632
FACILITY_ID
FA0022475
FACILITY_NAME
MOUNTAIN HOUSE HIGH SCHOOL
STREET_NUMBER
1090
Direction
S
STREET_NAME
CENTRAL
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
APN
20945030
CURRENT_STATUS
01
SITE_LOCATION
1090 S CENTRAL PKWY
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0041135 bhill@lammersvilleusd.net;jcorliss@lammersvilleusd.net
EmailSent
6/9/2021 11:47:32 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0539305
PR0543414
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 # PT0024215 for Record ID # PR0539305 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMIT TO OPERATE - PE 1632 EXEMPT FOOD <br />Permit ID # PT0026124 for Record ID # PR0543414 <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 />LAMMERSVILLE UNIFIED SCHOOL DIST <br />Regulated Facility: <br />1090 S CENTRAL PKWY <br />MOUNTAIN HOUSE, CA 95391 <br />Facility ID <br />Account ID <br />Issued <br />FA0022475 <br />AR0041135 <br />6/9/2021 <br />MOUNTAIN HOUSE HIGH SCHOOL <br />BERNIE HILLATTN : Billing Address: <br />MOUNTAIN HOUSE HIGH SCHOOL <br />111 DE ANZA BLVD <br />MOUNTAIN HOUSE, CA 95391 <br />End of report7024.rpt
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