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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546005
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Entry Properties
Last modified
3/6/2024 4:03:42 PM
Creation date
1/18/2023 1:12:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546005
PE
1635
FACILITY_ID
FA0026016
FACILITY_NAME
MARTINEZ KITCHEN #NR5390
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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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 1635-MOBILE FOOD PREPARATION UNIT(MFPU)#S239032 <br /> Permit ID # PT0027547 for Record ID # PR0546005 <br /> VEHICLE LIC #NR5390 <br /> Valid From 11/7/2022 To 12131/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MARTINEZ-ROSALES, GUILLERMO <br /> DBA: MARTINEZ KITCHEN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MARTINEZ KITCHEN #NR5390 Facility ID FA0026016 <br /> 620 S SACRAMENTO ST <br /> Account 10 AR0049275 <br /> LODI, CA 95240 Issued 11/18/2022 <br /> Billing Address: ATTN : MARTINEZ- ROSALES, GUILLERMO <br /> MARTINEZ KITCHEN#NR5390 <br /> 1989 ANGELICO CIR <br /> STOCKTON, CA 95207 <br /> 7016.ipt End of Report <br />
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