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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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CENTRAL
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738
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1600 - Food Program
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PR0545128
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BILLING_2022
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Entry Properties
Last modified
1/12/2022 11:48:00 AM
Creation date
1/12/2022 10:59:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0545128
PE
1623
FACILITY_ID
FA0025670
FACILITY_NAME
DYNAMIC NUTRTION
STREET_NUMBER
738
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
738 N CENTRAL AVE UNIT A
P_LOCATION
03
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0048542 ;
PermitRecordID
PR0545128
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 # PT0027255 for Record ID # PR0545128 <br />Valid From 1/1/2022 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 />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />FOLEY, HEATHER <br />DYNAMIC NUTRITION <br />Regulated Facility: <br />738 N CENTRAL AVE #A <br />TRACY, CA 95376 <br />Facility ID <br />Account ID <br />Issued <br />FA0025670 <br />AR0048542 <br />1/11/2022 <br />DYNAMIC NUTRTION <br />FOLEY, HEATHERATTN : Billing Address: <br />DYNAMIC NUTRTION <br />738 N CENTRAL AVE UNIT A <br />TRACY, CA 95376 <br />End of reportcombined.rpt
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