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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRAND CANAL
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1600 - Food Program
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PR0160447
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BILLING_2021
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Entry Properties
Last modified
6/23/2021 8:58:58 AM
Creation date
6/23/2021 8:52:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0160447
PE
1624
FACILITY_ID
FA0001543
FACILITY_NAME
WINE WIZARD
STREET_NUMBER
2222
STREET_NAME
GRAND CANAL
STREET_TYPE
BLVD
City
STOCKTON
Zip
952076676
APN
11011005
CURRENT_STATUS
01
SITE_LOCATION
2222 GRAND CANAL BLVD 3-3
P_LOCATION
01
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0001542 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160447
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 1624 - RESTAURANT/BAR 21-50 SEATS <br />Permit ID # PT0001539 for Record ID # PR0160447 <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 />JOHANSEN, LARRY <br />WINE WIZARD <br />Regulated Facility: <br />2222 GRAND CANAL BLVD #3-3 <br />STOCKTON, CA 95207-6676 <br />Facility ID <br />Account ID <br />Issued <br />FA0001543 <br />AR0001542 <br />6/23/2021 <br />WINE WIZARD <br />JOHANSEN, LARRYATTN : Billing Address: <br />WINE WIZARD <br />2222 GRAND CANAL BLVD 3-3 <br />STOCKTON, CA 95207-6676 <br />End of reportcombined.rpt
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