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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BASS PRO
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1356
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1600 - Food Program
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PR0528857
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BILLING_2021
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Entry Properties
Last modified
9/14/2021 1:43:43 PM
Creation date
9/14/2021 1:27:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0528857
PE
1614
FACILITY_ID
FA0019333
FACILITY_NAME
BASS PRO SHOPS OUTDOOR WORLD LLC
STREET_NUMBER
1356
STREET_NAME
BASS PRO
STREET_TYPE
DR
City
MANTECA
Zip
95337
APN
22455037
CURRENT_STATUS
01
SITE_LOCATION
1356 BASS PRO DR
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0034353 vlhorton@basspro.com;tlmcdonald@basspro.com
EmailSent
9/14/2021 1:43:43 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0528857
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 1614 - FOOD EST>1001 SQ FT W/O SEATING <br />Permit ID # PT0019979 for Record ID # PR0528857 <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 />BASS PRO SHOPS OUTDOOR WORLD L <br />BASS PRO SHOPS OUTDOOR WORLD L <br />Regulated Facility: <br />1356 BASS PRO DR <br />MANTECA, CA 95337 <br />Facility ID <br />Account ID <br />Issued <br />FA0019333 <br />AR0034353 <br />9/14/2021 <br />BASS PRO SHOPS OUTDOOR WORLD LLC <br />OPERATIONS MANAGERATTN : Billing Address: <br />BASS PRO SHOPS OUTDOOR WORLD LLC <br />1356 BASS PRO DR <br />MANTECA, CA 95337 <br />End of reportcombined.rpt
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