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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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2324
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1600 - Food Program
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PR0545010
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BILLING_2021
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Entry Properties
Last modified
12/7/2021 9:03:44 AM
Creation date
12/7/2021 8:53:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0545010
PE
1613
FACILITY_ID
FA0025606
FACILITY_NAME
EDGE NUTRITION
STREET_NUMBER
2324
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2324 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0048411 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0545010
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 # PT0027199 for Record ID # PR0545010 <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 />CRUZ RAMIREZ, SUSANA <br />EDGE NUTRITION <br />Regulated Facility: <br />2324 PACIFIC AVE <br />STOCKTON, CA 95204 <br />Facility ID <br />Account ID <br />Issued <br />FA0025606 <br />AR0048411 <br />12/7/2021 <br />EDGE NUTRITION <br />CRUZ RAMIREZ, SUSANAATTN : Billing Address: <br />EDGE NUTRITION <br />2324 PACIFIC AVE <br />STOCKTON, CA 95204 <br />End of reportcombined.rpt
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