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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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620
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1600 - Food Program
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PR0161809
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BILLING_2021
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Entry Properties
Last modified
6/23/2021 9:06:23 AM
Creation date
6/23/2021 9:01:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0161809
PE
1619
FACILITY_ID
FA0000473
FACILITY_NAME
PAQ Inc DBA Rancho San Miguel Market
STREET_NUMBER
620
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
Ln
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
620 S Cherokee Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000472 ehernandez@paqinc.com;jjurado@paqinc.com
EmailSent
6/23/2021 9:06:22 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0161809
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 1619 - RETAIL MKT >1000 SQ FT (=/>2 DEPTS) <br />Permit ID # PT0000479 for Record ID # PR0161809 <br />Valid From 8/1/2021 To 7/31/2022 <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 />PAQ INC. <br />Regulated Facility: <br />620 S CHEROKEE LN <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0000473 <br />AR0000472 <br />6/23/2021 <br />PAQ INC DBA RANCHO SAN MIGUEL MARKET <br />MCFADDEN, WENDYATTN : Billing Address: <br />JESUS JURADO <br />17935 MURPHY PARKWAY <br />LATHROP, CA 95330 <br />End of reportcombined.rpt
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