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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEST
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5052
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1600 - Food Program
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PR0542341
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BILLING_2021
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Entry Properties
Last modified
12/7/2021 4:36:56 PM
Creation date
12/7/2021 4:30:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0542341
PE
1624
FACILITY_ID
FA0024324
FACILITY_NAME
SUPER FISH POKE & TEA
STREET_NUMBER
5052
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
5052 WEST LN STE A-B
P_LOCATION
01
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0045301 superfishpoke@gmail.com;
EmailSent
12/7/2021 4:36:55 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0542341
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 1624 RESTAURANT/BAR 21-50 SEATS <br />Permit ID # PT0025870 for Record ID # PR0542341 <br />Valid From 11/1/2021 To 10/31/2022 <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 />MA, DAVID <br />SUPER FISH POKE & TEA <br />Regulated Facility: <br />5052 WEST LN #A-B <br />STOCKTON, CA 95210 <br />Facility ID <br />Account ID <br />Issued <br />FA0024324 <br />AR0045301 <br />12/7/2021 <br />SUPER FISH POKE & TEA <br />MA, DAVIDATTN : Billing Address: <br />SUPER FISH POKE & TEA <br />2852 MIRASOL LN <br />STOCKTON, CA 95212 <br />End of report7024.rpt
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