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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2702
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1600 - Food Program
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PR0547414
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Entry Properties
Last modified
3/15/2022 3:22:11 PM
Creation date
3/15/2022 3:20:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547414
PE
1613
FACILITY_ID
FA0026955
FACILITY_NAME
TARGET NUTRITION
STREET_NUMBER
2702
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2702 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
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 1613 FOOD EST 501-1000 SQ FT W/O SEATING <br />Permit ID # PT0028444 for Record ID # PR0547414 <br />Valid From 1/19/2022 To 1/31/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMITS) Valid only for: RUA, PABLO <br />DBA: TARGET NUTRITION <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: TARGET NUTRITION <br />Facility ID FA0026955 <br />2702 COUNTRY CLUB BLVD <br />Account ID AR0051583 <br />STOCKTON, CA 95204 <br />issued 1/21/2022 <br />Billing Address: ATTN : RUA, PABLO <br />TARGET NUTRITION <br />2340 SANGUINETTI LN SPC #72 <br />STOCKTON, CA 95205 <br />7024 Tt <br />End of report <br />
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