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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PACIFIC
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6124
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1600 - Food Program
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PR0160768
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BILLING_2022
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Entry Properties
Last modified
3/2/2022 12:20:08 PM
Creation date
3/2/2022 12:00:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0160768
PE
1625
FACILITY_ID
FA0002320
FACILITY_NAME
ROYAL SIAM
STREET_NUMBER
6124
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08137109
CURRENT_STATUS
01
SITE_LOCATION
6124 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0002334 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160768
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1625 -RESTAURANT/BAR 51-100 SEATS <br /> Permit ID# PT0002312 for Record ID # PR0160768 <br /> Valid From 4/1/2022 To 3/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JOHNSON, WASUMA; JOHNSON, DANIEL <br /> DBA: ROYAL SIAM <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ROYAL SIAM Facility ID FA0002320 <br /> 6124 PACIFIC AVE Account ID AR0002334 <br /> STOCKTON, CA 95207 Issued 3/2/2022 <br /> Billing Address: ATTN : JOHNSON, WASUMA <br /> ROYAL SIAM <br /> 4336 BRICK MASON CIR <br /> ROSEVILLE, CA 95747 <br /> combined.rpt End of report <br />
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