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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2525
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1600 - Food Program
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PR0518314
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BILLING_2021
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Entry Properties
Last modified
12/7/2021 9:03:32 AM
Creation date
12/7/2021 8:52:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0518314
PE
1623
FACILITY_ID
FA0013828
FACILITY_NAME
LA FLOR DE PUEBLA BAKERY
STREET_NUMBER
2525
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
06024007
CURRENT_STATUS
01
SITE_LOCATION
2525 S HUTCHINS ST STE 11
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0023275 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0518314
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 1623 - RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0011960 for Record ID # PR0518314 <br />Valid From 8/1/2021 To 7/31/2022 <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 />MEJIA, ANTONIO JR <br />LA FLOR DE PUEBLA BAKERY <br />Regulated Facility: <br />2525 S HUTCHINS ST #11 <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0013828 <br />AR0023275 <br />12/7/2021 <br />LA FLOR DE PUEBLA BAKERY <br />MEJIA, ANTONIOATTN : Billing Address: <br />LA FLOR DE PUEBLA BAKERY <br />2839 REDWOOD AVE <br />STOCKTON, CA 95205 <br />End of reportcombined.rpt
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