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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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4932
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1600 - Food Program
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PR0541274
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BILLING_2021
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Entry Properties
Last modified
12/7/2021 4:37:16 PM
Creation date
12/7/2021 4:30:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0541274
PE
1626
FACILITY_ID
FA0023646
FACILITY_NAME
Panera Bread #1959
STREET_NUMBER
4932
STREET_NAME
PACIFIC
STREET_TYPE
Ave
City
Stockton
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4932 Pacific Ave
P_LOCATION
01
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0043739 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0541274
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 1626 RESTAURANT/BAR 101 + SEATS <br />Permit ID # PT0025312 for Record ID # PR0541274 <br />Valid From 10/1/2021 To 9/30/2022 <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 />PANERA LLC <br />PANERA BREAD #1825 <br />Regulated Facility: <br />4932 PACIFIC AVE <br />STOCKTON, CA 95207 <br />Facility ID <br />Account ID <br />Issued <br />FA0023646 <br />AR0043739 <br />12/7/2021 <br />PANERA BREAD #1959 <br />PANERA, LLCATTN : Billing Address: <br />AMANDA JOHNSTON <br />3630 SOUTH GEYER ROAD <br />ST. LOUIS, MO 63127 <br />End of report7024.rpt
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