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1600 - Food Program
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PR0547814
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Entry Properties
Last modified
2/1/2024 9:27:38 AM
Creation date
8/15/2022 4:45:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547814
PE
1633
FACILITY_ID
FA0027241
FACILITY_NAME
LA FLACA'S ROASTED CORN #4UB4396
STREET_NUMBER
2184
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
2184 E MAIN ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
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 1633 -FOOD VEHICLE/CART(LTD FOOD PREP) <br /> Permit ID# PT0028741 for Record ID# PRO547814 <br /> VEHICLE LIC#4UB4396 <br /> Valid From 1/1/2024 To 12/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ESTRADA, MANUEL <br /> DBA: LA FLACA'S ROASTED CORN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA FLACA'S ROASTED CORN#41-1134396 Facility ID FA0027241 <br /> 2184 E MAIN ST Account ID AR0052338 <br /> STOCKTON, CA 95205 Issued 12/20/2023 <br /> Billing Address: ATTN : ESTRADA, MANUEL <br /> LA FLACA'S ROASTED CORN#4UB4396 <br /> 530 N SIERRA NEVADA ST <br /> STOCKTON, CA 95205 <br /> combinedrpt <br /> End of report <br />
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