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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BROOKSIDE
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3499
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1600 - Food Program
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PR0518112
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BILLING_2021
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Entry Properties
Last modified
6/23/2021 8:59:40 AM
Creation date
6/23/2021 8:52:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0518112
PE
1624
FACILITY_ID
FA0013699
FACILITY_NAME
VIP PIZZA
STREET_NUMBER
3499
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
11628011
CURRENT_STATUS
01
SITE_LOCATION
3499 BROOKSIDE RD STE D
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0022925 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0518112
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 # PT0011853 for Record ID # PR0518112 <br />Valid From 6/1/2021 To 5/31/2022 <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 />HUGHES, JOHN M <br />Regulated Facility: <br />3499 BROOKSIDE RD #D <br />STOCKTON, CA 95219 <br />Facility ID <br />Account ID <br />Issued <br />FA0013699 <br />AR0022925 <br />6/23/2021 <br />VIP PIZZA <br />HUGHES, JOHN MATTN : Billing Address: <br />VIP PIZZA <br />3499 BROOKSIDE RD STE D <br />STOCKTON, CA 95219 <br />End of reportcombined.rpt
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