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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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1600 - Food Program
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PR0160543
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BILLING_2022
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Entry Properties
Last modified
1/12/2022 11:42:41 AM
Creation date
1/12/2022 10:53:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0160543
PE
1623
FACILITY_ID
FA0002373
FACILITY_NAME
TACO BELL #480
STREET_NUMBER
627
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15109506
CURRENT_STATUS
01
SITE_LOCATION
627 N WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0002379 TABBIE@PRBMANAGEMENT.COM;BASRATB1B@AOL.COM
EmailSent
1/12/2022 11:42:39 AM
PermitRecordID
PR0160543
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 1623 - RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0002365 for Record ID # PR0160543 <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 />PRB MANAGEMENT, LLC <br />TACO BELL <br />Regulated Facility: <br />627 N WILSON WAY <br />STOCKTON, CA 95205 <br />Facility ID <br />Account ID <br />Issued <br />FA0002373 <br />AR0002379 <br />1/11/2022 <br />TACO BELL #480 <br />PHIL BASRAATTN : Billing Address: <br />TACO BELL #480 <br />4709 MANGELS BLVD <br />FAIRFIELD, CA 94534-4175 <br />End of reportcombined.rpt
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