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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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1600 - Food Program
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PR0526867
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BILLING_2021
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Entry Properties
Last modified
9/14/2021 12:30:57 PM
Creation date
9/14/2021 12:06:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0526867
PE
1624
FACILITY_ID
FA0018197
FACILITY_NAME
MR PICKLES
STREET_NUMBER
2251
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
21402032
CURRENT_STATUS
01
SITE_LOCATION
2251 W GRANT LINE RD STE 129
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Supplemental fields
EmailAddr
AR0032008 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0526867
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 1624 - RESTAURANT/BAR 21-50 SEATS <br />Permit ID # PT0018804 for Record ID # PR0526867 <br />Valid From 11/1/2021 To 10/31/2022 <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 />FISCHENICH, MICHAEL & PATRICIA <br />MR PICKLES <br />Regulated Facility: <br />2251 W GRANT LINE RD #129 <br />TRACY, CA 95377 <br />Facility ID <br />Account ID <br />Issued <br />FA0018197 <br />AR0032008 <br />9/14/2021 <br />MR PICKLES <br />FISCHENICH, MIKE & PATTYATTN : Billing Address: <br />MR PICKLES <br />4227 WINDSONG DR <br />TRACY, CA 95377 <br />End of reportcombined.rpt
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