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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548030
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Entry Properties
Last modified
8/4/2023 2:28:38 PM
Creation date
12/19/2022 10:50:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548030
PE
1615
FACILITY_ID
FA0027405
FACILITY_NAME
TIENDA GUATEMALA LLC
STREET_NUMBER
1
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
1 N WILSON WAY
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. Haze1ton 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 1615 RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Permit ID # PT0028921 for Record ID # PR0548030 <br />Valid From 5/10/2023 To 5/31/2024 <br /> <br />, <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br />PERMIT(s) Valid only for: MENDOZA MENDOZA, SANTOS <br />DBA: TIENDA GUATEMALA LLC <br />-, <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> <br />II <br />Regulated Facility: TIENDA GUATEMALA LLC Facility ID FA0027405 <br />1 N VV1LSON WAY Account ID AR0052798 <br />STOCKTON, CA 95205 <br /> <br />Issued 5/15/2023 <br />Billing Address: <br />7024.rpt <br />ATTN : MENDOZA MENDOZA, SANTOS <br />TIENDA GUATEMALA LLC <br />2112 WEBB ST <br />STOCKTON, CA 95205 <br />End of report
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