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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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3550
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1600 - Food Program
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PR0547482
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Entry Properties
Last modified
5/5/2023 8:54:20 AM
Creation date
4/14/2022 11:05:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547482
PE
1684
FACILITY_ID
FA0026996
FACILITY_NAME
SHIMMERING VIRTUE
STREET_NUMBER
3550
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
3550 N WILSON WAY
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
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, RE.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1684 SWAP MEET/FLEA MKT VENDOR STAND <br />Permit ID # PT0028482 for Record ID # PR0547482 <br />Valid From 2/8/2022 To 2/28/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause <br />PERMIT(s) Valid only for: ALEXANDER -WALKER, CHEYENNE <br />DBA: SHIMMERING VIRTUE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: SHIMMERING VIRTUE Facility ID FA0026996 <br />3550 N WILSON WAY AccountIc AR0051658 <br />STOCKTON, CA 95206 Issued 2/10/2022 <br />Billing Address: ATTN : ALEXANDER -WALKER, CHEYENNE <br />SHIMMERING VIRTUE <br />2727 WALNUTAVE APT #11 <br />CARMICHAEL, CA 95608 <br />I024.rpt End of repod <br />
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