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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TRINITY
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10858
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1600 - Food Program
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PR0526570
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BILLING_2021
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Entry Properties
Last modified
8/23/2021 2:36:01 PM
Creation date
8/23/2021 2:24:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0526570
PE
1625
FACILITY_ID
FA0017985
FACILITY_NAME
JACK IN THE BOX #4374
STREET_NUMBER
10858
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
CURRENT_STATUS
01
SITE_LOCATION
10858 TRINITY PKWY
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0031572 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0526570
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 1625 - RESTAURANT/BAR 51-100 SEATS <br />Permit ID # PT0018560 for Record ID # PR0526570 <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 />ANIL YADAV <br />Regulated Facility: <br />10858 TRINITY PKWY <br />STOCKTON, CA 95219 <br />Facility ID <br />Account ID <br />Issued <br />FA0017985 <br />AR0031572 <br />8/23/2021 <br />JACK IN THE BOX #4374 <br />VARRIS MANAGEMENT INCATTN : Billing Address: <br />ANIL YADAV <br />3550 MOWRY AVE #301 <br />FREMONT, CA 94538 <br />End of reportcombined.rpt
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