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1600 - Food Program
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PR0505470
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Entry Properties
Last modified
9/27/2021 1:51:40 PM
Creation date
9/27/2021 1:46:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0505470
PE
1623
FACILITY_ID
FA0006792
FACILITY_NAME
DOMINOS #7940
STREET_NUMBER
1205
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1205 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1623 RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0008029 for Record ID # PR0505470 <br />Valid From 6/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause <br />PERMIT(s) Valid only for: TEAM CENTRAL VALLEY INC <br />DBA: DOMINOS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: ' DOMINOS #7940 Facility ID FA0006792 <br />1205 S MAIN ST Amount iD AR0009371 <br />MANTECA, CA 95336 issued 7/9/2021 <br />y <br />Billing Address: ATTN : DEGRANDIS, GREG <br />DOMINOS #7940 <br />2930 GREER RD #174 <br />TURLOCK, CA 95382 <br />7024.rpt End of report <br />
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