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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2702
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1600 - Food Program
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PR0547414
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BILLING_2023
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Entry Properties
Last modified
1/12/2023 3:01:51 PM
Creation date
1/12/2023 2:53:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0547414
PE
1613
FACILITY_ID
FA0026955
FACILITY_NAME
TARGET NUTRITION
STREET_NUMBER
2702
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2702 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0051583 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547414
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 1613 -FOOD EST 501-1000 SQ FT W/O SEATING <br /> Permit ID# PT0028444 for Record ID # PR0547414 <br /> Valid From 2/1/2023 To 1/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: RUA, PABLO <br /> DBA: TARGET NUTRITION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TARGET NUTRITION Facility ID FA0026955 <br /> 2702 COUNTRY CLUB BLVD Account ID AR0051583 <br /> STOCKTON, CA 95204 Issued 1/12/2023 <br /> Billing Address: ATTN : RUA, PABLO <br /> TARGET NUTRITION <br /> 2340 SANGUINETTI LN SPC#72 <br /> STOCKTON, CA 95205 <br /> combined.rpt End of report <br />
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