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1600 - Food Program
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PR0547748
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Entry Properties
Last modified
7/21/2022 2:13:25 PM
Creation date
7/21/2022 2:12:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547748
PE
1617
FACILITY_ID
FA0027196
FACILITY_NAME
LA PETITE VINE
STREET_NUMBER
105
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
105 W MAIN ST
P_LOCATION
05
QC Status
Approved
Scanner
SJGOV\jcastaneda
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 1617 RETAIL MARKET > 1000 SQ FT W / FOOD PREP <br />Permit ID # PT0028693 for Record ID # PR0547748 <br />Valid From 6/2/2022 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: WILSON, KYNDRA <br />DBA: K & COMPANY, LLC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LA PETITE VINE Facility ID FA0027196 <br />105 W MAIN ST Accountlo AR0052210 <br />RIPON, CA 95366 Issued 6/2/2022 <br />Billing Address: ATTN : <br />LA PETITE VINE <br />105 W MAIN ST <br />RIPON. CA 95366 <br />7024.rpt End of report <br />
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