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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KELLEY
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8102
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1600 - Food Program
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PR0160035
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BILLING_2022
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Entry Properties
Last modified
11/18/2022 4:01:03 PM
Creation date
6/29/2022 3:59:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0160035
PE
1621
FACILITY_ID
FA0002761
FACILITY_NAME
WOODY'S
STREET_NUMBER
8102
STREET_NAME
KELLEY
STREET_TYPE
DR
City
STOCKTON
Zip
95209
APN
08222010
CURRENT_STATUS
01
SITE_LOCATION
8102 KELLEY DR STE A
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0009101 jeremygann64@yahoo.com;
EmailSent
11/18/2022 3:56:45 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160035
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 1621 BAR W/O FOOD PREP <br /> Permit ID# PT0002753 for Record ID # PR0160035 <br /> Valid From 11/17/2022 To 11/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GANN, JEREMY RAY <br /> DBA: WOODY'S <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WOODY'S Facility ID FA0002761 <br /> 8102 KELLEY DR#A Account ID AR0009101 <br /> STOCKTON, CA 95209 Issued 11/18/2022 <br /> Billing Address: ATTN : GANN, JEREMY RAY <br /> WOODY'S <br /> 2019 OLIVIA WAY <br /> STOCKTON, CA 95209 <br /> 7024.rpt End of report <br />
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