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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0542456
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BILLING_2021
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Entry Properties
Last modified
6/9/2021 11:56:44 AM
Creation date
6/9/2021 11:50:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0542456
PE
1632
FACILITY_ID
FA0024398
FACILITY_NAME
MERLO GYM - THE TABLE COMMUNITY FOUNDATION
STREET_NUMBER
2021
STREET_NAME
ANNE
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
2021 ANNE ST
P_LOCATION
01
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0045475 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0542456
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 # PT0025936 for Record ID # PR0542456 <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 />CITY OF STOCKTON <br />Regulated Facility: <br />2021 ANNE ST <br />STOCKTON, CA 95202 <br />Facility ID <br />Account ID <br />Issued <br />FA0024398 <br />AR0045475 <br />6/9/2021 <br />MERLO GYM - THE TABLE COMMUNITY FOUNDATION <br />BOOTH, JENNIFERATTN : Billing Address: <br />MERLO GYM - THE TABLE COMMUNITY FOUNDATION <br />605 N EL DORADO ST <br />STOCKTON, CA 95202 <br />End of report7024.rpt
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