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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CAMBRIDGE
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16444
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1600 - Food Program
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PR0161050
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BILLING_2022
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Entry Properties
Last modified
1/12/2022 11:46:21 AM
Creation date
1/12/2022 10:50:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0161050
PE
1624
FACILITY_ID
FA0000183
FACILITY_NAME
LA COSTA DE ACAPULCO
STREET_NUMBER
16444
STREET_NAME
CAMBRIDGE
STREET_TYPE
DR
City
LATHROP
Zip
95330
APN
19643033
CURRENT_STATUS
01
SITE_LOCATION
16444 CAMBRIDGE DR
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000182 ;
PermitRecordID
PR0161050
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 1624 - RESTAURANT/BAR 21-50 SEATS <br />Permit ID # PT0000191 for Record ID # PR0161050 <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 />MARTINEZ, ELIZABETH <br />LA COSTA DE ACALPULCO <br />Regulated Facility: <br />16444 CAMBRIDGE DR <br />LATHROP, CA 95330 <br />Facility ID <br />Account ID <br />Issued <br />FA0000183 <br />AR0000182 <br />1/11/2022 <br />LA COSTA DE ACAPULCO <br />MARTINEZ, ELIZABETHATTN : Billing Address: <br />LA COSTA DE ACAPULCO <br />2632 E LEWIS ST <br />STOCKTON, CA 95205 <br />End of reportcombined.rpt
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