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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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1321
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1600 - Food Program
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PR0161252
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BILLING_2021
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Entry Properties
Last modified
10/8/2021 2:17:44 PM
Creation date
10/8/2021 1:42:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0161252
PE
1618
FACILITY_ID
FA0000888
FACILITY_NAME
Big Lots Manteca 4617
STREET_NUMBER
1321
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
Manteca
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
1321 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000885 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0161252
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 1618 - RETAIL MKT >2000 SQ FT (PREPKGD / LTD PREP) <br />Permit ID # PT0000888 for Record ID # PR0161252 <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 />PNS STORES INC <br />BIG LOTS INC <br />Regulated Facility: <br />1321 W YOSEMITE AVE <br />MANTECA, CA 95337 <br />Facility ID <br />Account ID <br />Issued <br />FA0000888 <br />AR0000885 <br />10/8/2021 <br />BIG LOTS MANTECA 4617 <br />BIG LOTSATTN : Billing Address: <br />WILLIS ARRINGTON <br />4900 E DUBLIN GRANVILLE RD <br />COLUMBUS, OH 43081-7651 <br />End of reportcombined.rpt
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