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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1301
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1600 - Food Program
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PR0546005
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Entry Properties
Last modified
8/4/2022 2:09:20 PM
Creation date
8/4/2022 2:06:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546005
PE
1635
FACILITY_ID
FA0026016
FACILITY_NAME
LA VINTAGE MEXICAN FOOD #NR5390
STREET_NUMBER
1301
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04529028
CURRENT_STATUS
01
SITE_LOCATION
1301 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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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 1635 - MOBILE FOOD PREPARATION UNIT (NIFPU) # S227620 <br />Permit ID # PT0027547 for Record ID # PRO546005 <br />VEHICLE LIC # NR5390 <br />Valid From 6/10/2022 To 12/31/2022 <br />PERMPTS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for. CASILLAS FELIX, BRENDA <br />DBA: LA VINTAGE MEXICAN FOOD <br />TffiS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LA VINTAGE MEXICAN FOOD #NR5390 <br />Facility ID FA0026016 <br />1301 S SACRAMENTO ST <br />Account iD AR0049275 <br />LODI, CA 95240 <br />issued 6/16/2022 <br />BillingAddmss: ATTN : CASILLAS FELIX, BRENDA <br />LA VINTAGE MEXICAN FOOD #NR5390 <br />3316 DUTART CT <br />STOCKTON, CA 95205 <br />7016.Tt <br />End of Repon <br />
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