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BILLING_PR0508501 - 16731 BRANDT
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BILLING_PR0508501 - 16731 BRANDT
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Entry Properties
Last modified
6/17/2021 10:16:26 AM
Creation date
6/17/2021 9:46:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4454 - Kennel Program
File Section
BILLING
FileName_PostFix
PR0508501 - 16731 BRANDT
RECORD_ID
PR0508501
PE
4454
FACILITY_ID
FA0008116
FACILITY_NAME
MICONS LABRADORS
STREET_NUMBER
16731
STREET_NAME
BRANDT
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
16731 BRANDT RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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f or 0 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stodcton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,RE-H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4004-KENNEL <br /> Permit ID#PT0009763 for Record ID#PR0508501 <br /> Valid From 1/1/2005 To 12/31/2005 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MUELLERLEILE,CONSTANCE L <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MICONS LABRADORS Facility ID FA0008116 <br /> 16731 BRANDT RD Account ID AR0015479 <br /> LODI CA 95240 Issued 12/28/2004 <br /> Billing Address: ATTN : C MUELLERLEILE <br /> MICONS LABRADORS <br /> 16731 BRANDT RD <br /> LODI CA 95240 <br /> 7020.rpt <br />
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