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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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1105
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1600 - Food Program
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PR0546379
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BILLING_2021
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Entry Properties
Last modified
11/15/2021 10:23:55 AM
Creation date
11/15/2021 10:17:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0546379
PE
1613
FACILITY_ID
FA0026285
FACILITY_NAME
DUTCH BROS COFFEE
STREET_NUMBER
1105
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
1105 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0049909 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0546379
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 1613 - FOOD EST 501-1000 SQ FT W/O SEATING <br />Permit ID # PT0027750 for Record ID # PR0546379 <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 />DUTCH BROS., LLC <br />DUTCH BROS LLC <br />Regulated Facility: <br />1105 W YOSEMITE AVE <br />MANTECA, CA 95337 <br />Facility ID <br />Account ID <br />Issued <br />FA0026285 <br />AR0049909 <br />11/15/2021 <br />DUTCH BROS COFFEE <br />LEGAL DEPTATTN : Billing Address: <br />DUTCH BROS COFFEE <br />PO BOX 1929 <br />GRANTS PASS, OR 97582 <br />End of reportcombined.rpt
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