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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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CHEROKEE
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35
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1600 - Food Program
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PR0161856
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BILLING_2021
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Entry Properties
Last modified
8/23/2021 2:30:34 PM
Creation date
8/23/2021 2:24:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0161856
PE
1615
FACILITY_ID
FA0000991
FACILITY_NAME
SPEEDWAY #4873
STREET_NUMBER
35
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04318003
CURRENT_STATUS
01
SITE_LOCATION
35 N CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000988 rvijjeswarapu@speedway.com;kkduncan@speedway.com
EmailSent
8/23/2021 2:30:33 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0161856
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 1615 - RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Permit ID # PT0000992 for Record ID # PR0161856 <br />Valid From 10/1/2021 To 9/30/2022 <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 />WESTERN REFINING RETAIL LLC <br />SPEEDWAY #4873 <br />Regulated Facility: <br />35 N CHEROKEE LN <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0000991 <br />AR0000988 <br />8/23/2021 <br />SPEEDWAY #4873 <br />WESTERN REFINING RETAIL LLCATTN : Billing Address: <br />SPEEDWAY #4873 <br />19100 RIDGEWOOD PKWY <br />SAN ANTONIO, TX 78259 <br />End of reportcombined.rpt
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