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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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620
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1600 - Food Program
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PR0540650
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BILLING_2021
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Entry Properties
Last modified
12/23/2021 2:02:34 PM
Creation date
12/23/2021 2:01:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0540650
PE
1635
FACILITY_ID
FA0023247
FACILITY_NAME
LA SABROSITA DE APATZINGAN #98535W1
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0042784 nadmed54@gmail.com;
EmailSent
12/23/2021 2:02:34 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0540650
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 1635 - MOBILE FOOD PREPARATION UNIT (MFPU) # S227249 <br />Permit ID # PT0024946 for Record ID # PR0540650 <br />VEHICLE LIC # 98535W1 <br />Valid From 12/17/2021 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 />MEDINA-COVARRUBIAS, NADIA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />LA SABROSITA DE APATZINGAN <br />Regulated Facility: LA SABROSITA DE APATZINGAN #98535W1 <br />620 S SACRAMENTO ST <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0023247 <br />AR0042784 <br />12/23/2021 <br />ATTN : MEDINA-COVARRUBIAS, NADIABilling Address: <br />LA SABROSITA DE APATZINGAN #98535W1 <br />427 W FIFITH ST <br />STOCKTON, CA 95206 <br />7016.rpt End of Report
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