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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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U
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UNION
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1717
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1600 - Food Program
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PR0547047
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
4/28/2022 4:53:02 PM
Creation date
3/28/2022 12:37:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547047
PE
1635
FACILITY_ID
FA0026414
FACILITY_NAME
KAYLEE'S SWEET BOTANITAS #4SX8143
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16904012
CURRENT_STATUS
01
SITE_LOCATION
1717 S UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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u - •: pRIVER LICENSE <br />'i <br />FEDERAL <br />�i. <br />LIMITS <br />_ <br />APPLY . <br />DL B7670895 class c <br />EXP U,I/22/2026� END NONE <br />LNSANiTOS'' <br />FN BYRqN'RENE <br />_ <br />6 S CARROLL AVE <br />STOCKTON,`CA 95215 - <br />DOB 01/22, 978 a <br />RSTR NONE _ <br />01.2.21978 <br />1 <br />SEX';.M HAIR BILK <br />EYES IBLK <br />HGT 5-09" WGT 180 Ib <br />ISS <br />DD 02105120165VRBIDBFD/26 <br />0127/2021 <br />
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