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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BLOSSOM
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12984
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1600 - Food Program
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PR0540417
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BILLING_2022
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Entry Properties
Last modified
8/31/2022 4:40:52 PM
Creation date
8/31/2022 4:29:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0540417
PE
1618
FACILITY_ID
FA0023094
FACILITY_NAME
DOLLAR GENERAL # 15928
STREET_NUMBER
12984
STREET_NAME
BLOSSOM
STREET_TYPE
Ct
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
01
SITE_LOCATION
12984 BLOSSOM Ct
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0042411 Tax-beerandwinelicense@dollargeneral.com;
EmailSent
8/31/2022 4:40:50 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0540417
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 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) <br /> Permit ID# PT0024853 for Record ID # PR0540417 <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: DOLGEN CALIFORNIA LLC <br /> DBA: DOLLAR GENERAL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DOLLAR GENERAL# 15928 Facility ID FA0023094 <br /> 12984 BLOSSOM CT Account ID AR0042411 <br /> LOCKEFORD, CA 95237 Issued 8/31/2022 <br /> Billing Address: ATTN : DOLLAR GENERAL#15928 <br /> ERIC VOYLES <br /> 100 MISSION RIDGE <br /> GOODLETTSVILLE, TN 37072 <br /> combined.rpt End of report <br />
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