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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547162
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Entry Properties
Last modified
12/28/2022 4:05:06 PM
Creation date
11/30/2021 4:50:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547162
PE
1635
FACILITY_ID
FA0026762
FACILITY_NAME
JITARO TRUCK #4UB1722
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave •Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1635-MOBILE FOOD PREPARATION UNIT(MIFPU)#S227082 <br /> Permit ID#PT0028244 for Record ID #PRO547162 <br /> VEHICLE LIC #4UB1722 <br /> Valid From 1/1/2022 To 12/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: FUJIMURA, DAVID <br /> DBA: JITARO TRUCK <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JITARO TRUCK 94UB1722 Facility ID FA0026762 <br /> AccountlD AR0051018 <br /> 620 S SACRAMENTO ST <br /> LODI, CA 95240 Issued 1218/2021 <br /> BillingAddress: ATTN : FUJIMURA, DAVID <br /> JITARO TRUCK#4UB1722 <br /> 705 BRANDYMNE DR <br /> LODI, CA 95240 <br /> 7016.rpt End of Report <br />
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