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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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107
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1600 - Food Program
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PR0539463
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BILLING_2022
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Entry Properties
Last modified
7/29/2022 2:28:28 PM
Creation date
7/29/2022 2:03:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0539463
PE
1624
FACILITY_ID
FA0022562
FACILITY_NAME
DOMINOS
STREET_NUMBER
107
Direction
W
STREET_NAME
NORTH
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21723311
CURRENT_STATUS
01
SITE_LOCATION
107 W NORTH ST STE 10
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0041254 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0539463
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 1624-RESTAURANT/BAR 21-50 SEATS <br /> Permit ID# PT0024247 for Record ID # PR0539463 <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: TEAM CENTRAL VALLEY INC <br /> DBA: DOMINOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DOMINOS Facility ID FA0022562 <br /> 107 W NORTH ST#10 Account ID AR0041254 <br /> MANTECA, CA 95336 Issued 7/29/2022 <br /> Billing Address: ATTN : DEGRANDIS, GREG <br /> DOMINOS <br /> 2930 GREER RD STE 174 <br /> TURLOCK, CA 95382 <br /> combined.rpt End of report <br />
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