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BILLING_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541248
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BILLING_2019
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Entry Properties
Last modified
7/14/2021 3:19:24 PM
Creation date
7/14/2021 1:42:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2019
RECORD_ID
PR0541248
PE
1633
FACILITY_ID
FA0025011
FACILITY_NAME
LA FRUTA LOCA #4PF3961
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0046982 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0541248
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 ID # PT0025300 for Record ID # PR0541248 <br />Valid From 1/1/2019 To 12/31/2019 <br />VEHICLE LIC # 4PF3961 <br />PERMIT TO OPERATE - PE 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S191188 <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 />ZACARIAS, JULIO ROQUE <br />LA FRUTA LOCA <br />Regulated Facility: <br />620 S SACRAMENTO ST <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0025011 <br />AR0046982 <br />7/14/2021 <br />LA FRUTA LOCA #4PF3961 <br />ZACARIAS, JULIO ROQUEATTN : Billing Address: <br />LA FRUTA LOCA #4PF3961 <br />259 W E ST <br />GALT, CA 95632 <br />End of reportcombined.rpt
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