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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2808
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1600 - Food Program
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PR0516675
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BILLING_2022
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Entry Properties
Last modified
1/6/2022 2:07:06 PM
Creation date
1/6/2022 2:04:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0516675
PE
1619
FACILITY_ID
FA0022709
FACILITY_NAME
SAFEWAY STORE #1769
STREET_NUMBER
2808
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2808 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0041583 NASC.TAX@SAFEWAY.COM;
EmailSent
1/6/2022 2:07:04 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0516675
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 # PT0011452 for Record ID # PR0516675 <br />Valid From 2/1/2022 To 1/31/2023 <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 />SAFEWAY INC <br />Regulated Facility: <br />2808 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />Facility ID <br />Account ID <br />Issued <br />FA0022709 <br />AR0041583 <br />1/6/2022 <br />SAFEWAY STORE #1769 <br />NASC-TAXATTN : Billing Address: <br />SAFEWAY STORE #1769 <br />PO BOX 29096 MS 6516 <br />PHOENIX, AZ 85038 <br />End of reportcombined.rpt
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