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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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130
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1600 - Food Program
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PR0505144
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BILLING_2021
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Entry Properties
Last modified
11/19/2024 10:19:15 AM
Creation date
6/23/2021 9:02:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0505144
PE
1624
FACILITY_ID
FA0006572
FACILITY_NAME
THE UPPER ROOM
STREET_NUMBER
130
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23505304
CURRENT_STATUS
01
SITE_LOCATION
130 W ELEVENTH ST STE B
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0010434 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0505144
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 # PT0007746 for Record ID # PR0505144 <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 />LOPEZ, RICKY <br />THE UPPER ROOM <br />Regulated Facility: <br />130 W ELEVENTH ST #B <br />TRACY, CA 95376 <br />Facility ID <br />Account ID <br />Issued <br />FA0006572 <br />AR0010434 <br />6/23/2021 <br />THE UPPER ROOM <br />LOPEZ, RICKYATTN : Billing Address: <br />THE UPPER ROOM <br />2629 ALMANOR DR <br />TRACY, CA 95376 <br />End of reportcombined.rpt
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