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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SACRAMENTO
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1301
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1600 - Food Program
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PR0547978
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BILLING_2022
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Entry Properties
Last modified
9/29/2022 12:09:59 PM
Creation date
9/29/2022 12:01:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0547978
PE
1633
FACILITY_ID
FA0027358
FACILITY_NAME
ISLAND FRESH SEAFOOD #4UV5235
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 - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0052696 haney2613@aol.com;
EmailSent
9/29/2022 12:09:55 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547978
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)# S227670 <br /> Permit ID # PT0028872 for Record ID # PR0547978 <br /> VEHICLE LIC #4UV5235 <br /> Valid From 9/23/2022 To 12/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HANEY, JEROLD <br /> DBA: ISLAND FRESH SEAFOOD <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0027358 <br /> Regulated Facility: ISLAND FRESH SEAFOOD #4UV5235 <br /> Account ID AR0052696 <br /> 1301 S SACRAMENTO ST <br /> LODI, CA 95240 Issued 9/29/2022 <br /> Billing Address: ATTN : HANEY, JEROLD <br /> ISLAND FRESH SEAFOOD#4UV5235 <br /> 10331 PEDRA DO SOL WAY <br /> ELK GROVE, CA 95757 <br /> 7016.rpt End of Report <br />
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