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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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88 (STATE ROUTE 88)
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18783
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1600 - Food Program
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PR0161731
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BILLING_2021
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Entry Properties
Last modified
11/20/2024 9:21:23 AM
Creation date
6/29/2021 9:17:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0161731
PE
1623
FACILITY_ID
FA0000261
FACILITY_NAME
OLD CORNER SALOON
STREET_NUMBER
18783
Direction
E
STREET_NAME
STATE ROUTE 88
City
CLEMENTS
Zip
95227
APN
01924019
CURRENT_STATUS
01
SITE_LOCATION
18783 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000260 tjbarbero@att.net;
EmailSent
6/29/2021 9:32:47 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0161731
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 1623 - RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0000269 for Record ID # PR0161731 <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 />ANDERSON, TODD <br />OLD CORNER SALOON <br />Regulated Facility: <br />18783 E HWY 88 <br />CLEMENTS, CA 95227 <br />Facility ID <br />Account ID <br />Issued <br />FA0000261 <br />AR0000260 <br />6/29/2021 <br />OLD CORNER SALOON <br />TODD ANDERSONATTN : Billing Address: <br />OLD CORNER SALOON <br />24301 N TULLY RD <br />ACAMPO, CA 95220 <br />End of reportcombined.rpt
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