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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MACON
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10150
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1600 - Food Program
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PR0547096
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
9/28/2021 10:19:38 AM
Creation date
9/28/2021 10:18:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0547096
PE
1608
FACILITY_ID
FA0026708
FACILITY_NAME
HUNNY PIE SUGAR BUNCH
STREET_NUMBER
10150
STREET_NAME
MACON
STREET_TYPE
DR
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
10150 MACON DR
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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Source: <br />Order Date/Time: <br />Order Number: <br />Operator: <br />Location Code: <br />Transaction Type: <br />Card Holder: <br />Payment Method: <br />Approval Code: <br />AVS Response: <br />POS Order <br />8/6/202102:51 PM PDT <br />129722387 <br />MichelleO <br />**********030 <br />Purchase <br />DESIRAE GOPP <br />Debit <br />125217 <br />Agency Amount Product <br />$155.00 Annual Permit Fees <br />Order Date/Time: <br />Confirmation Number: <br />Payment Applied towards: <br />Card Holder: <br />Bill To <br />DESTRAE GOPP <br />1868 E. Hazelton Ave. <br />Stockton, CA 95205 <br />209-468-3420 <br />Payment Information <br />Merchant Copy <br />Authorization: <br />Paid in Full <br />Agency Amount: <br />$155.00 <br />Other Agency Amount: <br />$0.00 <br />Shipping Amount: <br />$0.00 <br />LN Service Fee: <br />$1.35 <br />TotalAmount(USD): <br />$156.35 <br />Expiration <br />Transaction Ref #: <br />CVV2 Response: <br />Val Code: <br />Product Detail <br />10150 <br />San Joaquin County Environmental Health <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />209-468-3420 <br />VitalChek Receipt - POS Order <br />Cardholder Copy <br />8/6/202102:51 PM PDT <br />129722387 <br />Annual Permit Fees <br />DESIRAE GOPP <br />607900001 <br />Transaction Type: Purchase <br />Approval Code: 125217 <br />Transaction Ref #: 607900001 <br />Payment Method: Debit <br />la <br />Authorization: <br />Paid in Full <br />Agency Amount: <br />$155.00 <br />Other Agency Amount: <br />$0.00 <br />LN Service Fee: <br />$1.35 <br />Total Amount(USD): <br />$156.35 <br />Refund Policy: Please contact the agency listed <br />on the receipt to request a <br />refund. <br />
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