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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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NAGLEE
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2512
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1600 - Food Program
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PR0541494
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BILLING_2021
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Entry Properties
Last modified
10/22/2021 3:15:52 PM
Creation date
10/22/2021 3:05:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0541494
PE
1625
FACILITY_ID
FA0023789
FACILITY_NAME
CHIPOTLE MEXICAN GRILL #2865
STREET_NUMBER
2512
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2512 NAGLEE RD STE 100
P_LOCATION
03
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0044058 licensing@chipotle.com;CA.2865.Tracy@chipotle.com
EmailSent
10/22/2021 3:15:51 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0541494
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 1625 - RESTAURANT/BAR 51-100 SEATS <br />Permit ID # PT0025446 for Record ID # PR0541494 <br />Valid From 12/1/2021 To 11/30/2022 <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 />CHIPOTLE MEXICAN GRILL INC <br />Regulated Facility: <br />2512 NAGLEE RD #100 <br />TRACY, CA 95304 <br />Facility ID <br />Account ID <br />Issued <br />FA0023789 <br />AR0044058 <br />10/22/2021 <br />CHIPOTLE MEXICAN GRILL #2865 <br />LICENSINGATTN : Billing Address: <br />CHIPOTLE MEXICAN GRILL #2865 <br />PO BOX 182566 <br />COLUMBUS, OH 43218 <br />End of reportcombined.rpt
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