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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547996
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Entry Properties
Last modified
12/13/2022 1:06:16 PM
Creation date
12/13/2022 1:01:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547996
PE
1613
FACILITY_ID
FA0027374
FACILITY_NAME
FORK IT
STREET_NUMBER
2337
STREET_NAME
PORTOLA
STREET_TYPE
AVE
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
2337 PORTOLA AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
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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 1613 FOOD EST 501-1000 SQ FT W/O SEATING <br />Permit ID # PT0028890 for Record ID # PR0547996 <br />Valid From 9/6/2022 To 9/30/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: VICTORIA, ISAAC L <br />DBA: FORK IT <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES 11 <br />Regulated Facility: FORK IT <br />Facility ID FA0027374 <br />2337 PORTOLAAVE <br />AccountiD AR0052712 <br />STOCKTON, CA 95209 <br />issued 10/6/2022 <br />Billing Address: ATTN : VICTORIA, ISAAC L <br />FORK IT <br />2032 ALCAZAR WAY <br />STOCKTON, CA 95209 <br />7024.rpt <br />End of report <br />
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