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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PESCADERO
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1005
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1600 - Food Program
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PR0543454
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BILLING_2021
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Entry Properties
Last modified
6/23/2021 9:00:03 AM
Creation date
6/23/2021 8:53:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0543454
PE
1621
FACILITY_ID
FA0024664
FACILITY_NAME
LA HUACANA ENTERTAINMENT
STREET_NUMBER
1005
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
1005 E PESCADERO AVE STE 221
P_LOCATION
03
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0046125 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0543454
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 1621 - BAR w/o FOOD PREP <br />Permit ID # PT0026142 for Record ID # PR0543454 <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 />QUINTANA, ROSAURA <br />LA HUACANA ENTERTAINMENT <br />Regulated Facility: <br />1005 E PESCADERO AVE #221 <br />TRACY, CA 95304 <br />Facility ID <br />Account ID <br />Issued <br />FA0024664 <br />AR0046125 <br />6/23/2021 <br />LA HUACANA ENTERTAINMENT <br />QUINTANA, ROSAURAATTN : Billing Address: <br />LA HUACANA ENTERTAINMENT <br />4108 TIMELESS TRAIL DR <br />MODESTO, CA 95356-8764 <br />End of reportcombined.rpt
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