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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAMMER
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1616
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1600 - Food Program
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PR0160939
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BILLING_2022
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Entry Properties
Last modified
12/13/2021 3:47:41 PM
Creation date
12/13/2021 3:26:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0160939
PE
1619
FACILITY_ID
FA0001705
FACILITY_NAME
Costco Wholesale #38
STREET_NUMBER
1616
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
01
SITE_LOCATION
1616 E Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0001704 BRHOTEN@COSTCO.COM;LSIMPSON@COSTCO.COM
EmailSent
12/13/2021 3:47:41 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160939
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 1619 RETAIL MKT >1000 SQ FT (=/>2 DEPTS) <br />Permit ID # PT0001700 for Record ID # PR0160939 <br />Valid From 1/1/2022 To 12/31/2022 <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 />COSTCO WHOLESALE CORPORATION <br />Regulated Facility: <br />1616 E HAMMER LN <br />STOCKTON, CA 95210 <br />Facility ID <br />Account ID <br />Issued <br />FA0001705 <br />AR0001704 <br />12/13/2021 <br />COSTCO WHOLESALE #38 <br />ATTN: LICENSINGATTN : Billing Address: <br />COSTCO LICENSING <br />P.O. BOX 35005 <br />SEATTLE, WA 98124-3405 <br />End of report7024.rpt
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