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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1205
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1600 - Food Program
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PR0163296
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BILLING_2022
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Entry Properties
Last modified
6/10/2022 8:50:14 AM
Creation date
5/18/2022 2:29:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0163296
PE
1619
FACILITY_ID
FA0022670
FACILITY_NAME
WALMART #1840
STREET_NUMBER
1205
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
21935032
CURRENT_STATUS
01
SITE_LOCATION
1205 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0041511 Jordan.Hickman@walmart.com;complic@wal-mart.com
EmailSent
6/10/2022 8:50:10 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0163296
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 1619-RETAIL MKT>1000 SQ FT(=/>2 DEPTS) <br /> Permit ID# PT0000855 for Record ID # PR0163296 <br /> Valid From 7/1/2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: WALMART INC. <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WALMART#1840 Facility ID FA0022670 <br /> 1205 S MAIN ST Account ID AR0041511 <br /> MANTECA, CA 95337 Issued 5/18/2022 <br /> Billing Address: ATTN : WAL-MART <br /> WALMART#1840 <br /> 508 SW 8TH ST DEPT#8916 <br /> BENTONVILLE,AR 72716-0500 <br /> combined.rpt End of report <br />
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