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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MAZE
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1600 - Food Program
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PR0547767
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Entry Properties
Last modified
10/25/2024 4:28:47 PM
Creation date
7/21/2022 3:18:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547767
PE
1634 - FOOD VEHICLE/CART (PREPKGD ONLY)
FACILITY_ID
FA0027207
FACILITY_NAME
ICE ICE BABY ICE CREAM #78319L3
STREET_NUMBER
435
STREET_NAME
MAZE
STREET_TYPE
BLVD
City
MODESTO
Zip
95351
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
435 MAZE BLVD MODESTO 95351
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 1634 - FOOD VEHICLE/CART (PREPKGD ONLY) # S227610 <br />Permit ED # PT0028707 for Record ED # PRO547767 <br />VEHICLE LIC # 78319L3 <br />Valid From 6/2/2022 To 12/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: TAN, DUC <br />DBA: ICE ICE BABY ICE CREAM <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TRE PREMISES <br />Regulated Facility: ICE ICE BABY ICE CREAM #783191-3 Facility ID FA0027207 <br />435 MAZE BLVD AccountlD AR0052222 <br />MODESTO, CA 95351 Issued 6/7/2022 <br />BiirngAddress: ATTN : TAN, DUC <br />ICE ICE BABY ICE CREAM #78319L3 <br />3216 LEMMONS ST <br />RIVERBANK, CA 95367 <br />7oi6.rpc <br />End of Report <br />
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