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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547793
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Entry Properties
Last modified
8/4/2022 3:44:11 PM
Creation date
8/4/2022 3:42:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547793
PE
1617
FACILITY_ID
FA0027228
FACILITY_NAME
BAHAY KUBO INC
STREET_NUMBER
903
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
903 N CENTRAL AVE
P_LOCATION
03
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 />PERbIIT TO OPERATE - PE 1617 RETAIL MARKET > 1000 SQ FT W / FOOD PREP <br />Permit ID # PT0028725 for Record ID # PR0547793 <br />Valid From 6/16/2022 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: QUTAMBAO, REDENTOR <br />DBA: BAHAY KUBO INC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BAHAY KUBO INC <br />Facility ID FA0027228 <br />903 N CENTRALAVE <br />AcccuntlD AR0052264 <br />TRACY, CA 95376 <br />issued 6/20/2022 <br />Billing Address: ATTN : QUTAMBAO, REDENTOR <br />BAHAY KUBO INC <br />768 W PERGOLA WAY <br />MOUNTAIN HOUSE, CA 95391 <br />7024.rpt <br />End of report <br />
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