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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOUISE
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2403
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1600 - Food Program
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PR0547332
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BILLING_2021
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Entry Properties
Last modified
12/16/2021 8:36:57 AM
Creation date
12/16/2021 8:23:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0547332
PE
1615
FACILITY_ID
FA0026896
FACILITY_NAME
CANTEEN @ AMAZON DCK1
STREET_NUMBER
2403
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
2403 W LOUISE AVE
P_LOCATION
04
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0051356 nicole.rollins@compass-usa.com;
EmailSent
12/16/2021 8:36:57 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547332
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 1615 RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Permit ID # PT0028377 for Record ID # PR0547332 <br />Valid From 11/30/2021 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 />ROSSITCH, RICHARD <br />COMPASS GROUP USA INC <br />Regulated Facility: <br />2403 W LOUISE AVE <br />MANTECA, CA 95337 <br />Facility ID <br />Account ID <br />Issued <br />FA0026896 <br />AR0051356 <br />12/14/2021 <br />CANTEEN @ AMAZON DCK1 <br />LICENSINGATTN : Billing Address: <br />CANTEEN @ AMAZON DCK1 <br />2400 YORKMONT RD <br />CHARLOTTE, NC 28217 <br />End of report7024.rpt
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