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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2210
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1600 - Food Program
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PR0544443
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BILLING_2021
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Entry Properties
Last modified
7/6/2021 3:09:50 PM
Creation date
7/6/2021 3:07:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0544443
PE
1633
FACILITY_ID
FA0025267
FACILITY_NAME
SELINA'S SHAVED ICE #4SR3859
STREET_NUMBER
2210
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
16904012
CURRENT_STATUS
01
SITE_LOCATION
2210 W COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0047543 selinasshavedice@gmail.com;
EmailSent
7/6/2021 3:09:49 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0544443
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 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S213578 <br />Permit ID # PT0026916 for Record ID # PR0544443 <br />VEHICLE LIC # 4SR3859 <br />Valid From 6/25/2021 To 12/31/2021 <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 />COLE, SELINA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />SELINA'S SHAVED ICE <br />Regulated Facility: SELINA'S SHAVED ICE #4SR3859 <br />2210 W COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />Facility ID <br />Account ID <br />Issued <br />FA0025267 <br />AR0047543 <br />7/2/2021 <br />ATTN : COLE, SELINABilling Address: <br />SELINA'S SHAVED ICE #4SR3859 <br />2000 S SAN JOAQUIN ST <br />STOCKTON, CA 95206 <br />7016.rpt End of Report
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