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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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PERSHING
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5403
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1600 - Food Program
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PR0542438
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BILLING_2021
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Entry Properties
Last modified
12/10/2021 9:31:41 AM
Creation date
12/10/2021 9:17:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0542438
PE
1623
FACILITY_ID
FA0024390
FACILITY_NAME
MO NUTRITION
STREET_NUMBER
5403
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5403 N PERSHING AVE STE 10
P_LOCATION
01
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0045443 mamamona82@gmail.com;
EmailSent
12/10/2021 9:31:40 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0542438
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 # PT0025918 for Record ID # PR0542438 <br />Valid From 11/23/2021 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 />VALENZUELA, MONIQUE <br />MO NUTRITION <br />Regulated Facility: <br />5403 N PERSHING AVE #10 <br />STOCKTON, CA 95207 <br />Facility ID <br />Account ID <br />Issued <br />FA0024390 <br />AR0045443 <br />12/9/2021 <br />MO NUTRITION <br />VALENZUELA, MONIQUEATTN : Billing Address: <br />MO NUTRITION <br />5403 N PERSHING AVE STE 10 <br />STOCKTON, CA 95207 <br />End of report7024.rpt
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