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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161568
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/19/2024 10:19:36 AM
Creation date
10/27/2021 2:04:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161568
PE
1617
FACILITY_ID
FA0003143
FACILITY_NAME
KOVALAM GROCERY & RESTAURANT
STREET_NUMBER
1200
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1200 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Crush Pest Management Invoice #100711 <br /> 672 W 11th St Invoice Date: 10/26/2021 <br /> Suite 365 <br /> Tracy, CA 95376 <br /> <br /> <br /> Kovalam South Indian Restaurant and Grocery <br /> Invoice <br /> Billing Location I <br /> ntact Philip, Owner <br /> Tracy, CA 95376 <br /> Main Number (209) 639-4299 <br /> Mobile Number (209) 639-4299 <br /> Email jjkphilip@gmail.com <br /> Service Information <br /> Services Qty Rate Price <br /> 1200 W 11th St, Tracy, CA 95376 <br /> 10/26/2021 Commercial Monthly Pest Control 1 visit $95.00 /visit $95.00 <br /> — Service Discount: Customer Loyalty Discount 1 ($10.00) ($10.00) <br /> Discounts: $10.00 <br /> Subtotal: $85.00 <br /> Tax: $0.00 <br /> Total: $85.00 <br /> Amount Paid: $0.00 <br /> Balance Due: $85.00 <br /> Thank you for your business! <br /> Company License# OPR11081 Page 1 of 2 <br />
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