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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DALLAS
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742
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1600 - Food Program
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PR0547287
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BILLING_2021
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Entry Properties
Last modified
11/10/2021 2:52:04 PM
Creation date
11/10/2021 2:51:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0547287
PE
1632
FACILITY_ID
FA0026857
FACILITY_NAME
KIPP STOCKTON MIDDLE SCHOOL
STREET_NUMBER
742
STREET_NAME
DALLAS
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
742 DALLAS AVE
P_LOCATION
01
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0051262 jessica.miranda@kippstocktonms.org;
EmailSent
11/10/2021 2:52:04 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547287
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 1632 EXEMPT FOOD <br />Permit ID # PT0028339 for Record ID # PR0547287 <br />Valid From 11/9/2021 To 6/30/2022 <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 />KIPP STOCKTON MIDDLE SCHOOL <br />KIPP STOCKTON MIDDLE SCHOOL <br />Regulated Facility: <br />742 DALLAS AVE <br />STOCKTON, CA 95206 <br />Facility ID <br />Account ID <br />Issued <br />FA0026857 <br />AR0051262 <br />11/10/2021 <br />KIPP STOCKTON MIDDLE SCHOOL <br />MIRANDA, JESSICAATTN : Billing Address: <br />KIPP STOCKTON MIDDLE SCHOOL <br />742 DALLAS AVE <br />STOCKTON, CA 95206 <br />End of report7024.rpt
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