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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PAVILION
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2850
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1600 - Food Program
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PR0535710
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BILLING_2021
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Entry Properties
Last modified
10/8/2021 2:16:48 PM
Creation date
10/8/2021 1:42:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0535710
PE
1619
FACILITY_ID
FA0020585
FACILITY_NAME
WinCo Foods #103
STREET_NUMBER
2850
STREET_NAME
PAVILION
STREET_TYPE
Pkwy
City
Tracy
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2850 Pavilion Pkwy
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0036871 licensing@wincofoods.com;
EmailSent
10/8/2021 2:16:47 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0535710
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 1619 - RETAIL MKT >1000 SQ FT (=/>2 DEPTS) <br />Permit ID # PT0021881 for Record ID # PR0535710 <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 />WINCO FOODS LLC <br />WINCO FOODS <br />Regulated Facility: <br />2850 PAVILION PKWY <br />TRACY, CA 95304 <br />Facility ID <br />Account ID <br />Issued <br />FA0020585 <br />AR0036871 <br />10/8/2021 <br />WINCO FOODS #103 <br />WINCO FOODS #103ATTN : Billing Address: <br />LICENSING <br />PO BOX 5756 <br />BOISE, ID 83705 <br />End of reportcombined.rpt
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