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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DAVE BRUBECK
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870
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1600 - Food Program
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PR0543935
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BILLING_2021
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Entry Properties
Last modified
10/22/2021 3:16:20 PM
Creation date
10/22/2021 3:06:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0543935
PE
1623
FACILITY_ID
FA0024986
FACILITY_NAME
TRAIL AT THE BRU
STREET_NUMBER
870
STREET_NAME
DAVE BRUBECK
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
870 DAVE BRUBECK WAY
P_LOCATION
01
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0046907 bing@trailcoffeeroasters.com;zach.bailey@trailcoffeeroasters.com
EmailSent
10/22/2021 3:16:20 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0543935
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 1623 - RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0026368 for Record ID # PR0543935 <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 />KIRK, EDWARD B <br />Regulated Facility: <br />870 DAVE BRUBECK WAY <br />STOCKTON, CA 95204 <br />Facility ID <br />Account ID <br />Issued <br />FA0024986 <br />AR0046907 <br />10/22/2021 <br />TRAIL AT THE BRU <br />KIRK, EDWARD BATTN : Billing Address: <br />TRAIL AT THE BRU <br />3314 COVE CIR <br />STOCKTON, CA 95204 <br />End of reportcombined.rpt
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