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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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PR0541439
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BILLING_2021
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Entry Properties
Last modified
10/28/2021 4:40:55 PM
Creation date
10/28/2021 4:37:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0541439
PE
1626
FACILITY_ID
FA0023753
FACILITY_NAME
Panera Bread #1940
STREET_NUMBER
2512
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2512 NAGLEE RD STE 120
P_LOCATION
03
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0043973 LICENSING@PANERABREAD.COM;CAFE1940@PANERABREAD.COM
EmailSent
10/28/2021 4:40:54 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0541439
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 1626 - RESTAURANT/BAR 101 + SEATS <br />Permit ID # PT0025419 for Record ID # PR0541439 <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 />PANERA LLC <br />PANERA BREAD #1825 <br />Regulated Facility: <br />2512 NAGLEE RD #120 <br />TRACY, CA 95304 <br />Facility ID <br />Account ID <br />Issued <br />FA0023753 <br />AR0043973 <br />10/28/2021 <br />PANERA BREAD #1940 <br />LICENSING MGRATTN : Billing Address: <br />AMANDA JOHNSTON <br />3630 S. GEYER RD. <br />ST. LOUIS, MO 63127 <br />End of reportcombined.rpt
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