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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LILLIAN
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1255
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1600 - Food Program
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PR0527490
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BILLING_2022
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Entry Properties
Last modified
7/18/2022 3:02:12 PM
Creation date
7/18/2022 2:50:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0527490
PE
1625
FACILITY_ID
FA0018622
FACILITY_NAME
Mountain Mikes Pizza
STREET_NUMBER
1255
STREET_NAME
LILLIAN
STREET_TYPE
Ave
City
Escalon
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
1255 Lillian Ave
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0032986 office@maddoxresources.com;jcarlson429@gmail.com
EmailSent
7/18/2022 3:02:10 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0527490
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 1625 -RESTAURANT/BAR 51-100 SEATS <br /> Permit ID# PT0019251 for Record ID # PR0527490 <br /> Valid From 9/1/2022 To 8/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MADDOX RESOURCES INC. <br /> DBA: MOUNTAIN MIKE'S PIZZA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MOUNTAIN MIKES PIZZA Facility ID FA0018622 <br /> 1255 LILLIAN AVE Account ID AR0032986 <br /> ESCALON, CA 95320 Issued 7/18/2022 <br /> Billing Address: ATTN : MOUNTAIN MIKES PIZZA <br /> MADDOX RESOURCES <br /> 161 NORTH SECOND AVE <br /> OAKDALE, CA 95361 <br /> combined.rpt End of report <br />
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