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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547751
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Entry Properties
Last modified
2/1/2024 9:23:54 AM
Creation date
1/25/2023 2:19:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547751
PE
1635
FACILITY_ID
FA0022981
FACILITY_NAME
PENAS TAQUERIA (3 VEHS)
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 a 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(1VIFPU)#S239322 <br /> Permit ID#PT0028696 for Record ID#PR0547751 <br /> VEHICLE LIC#4UW5766 <br /> Valid From 1/1/2023 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PENA, MARIA S <br /> DBA: PENAS TAQUERIA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: PENAS TAQUERIA(3 VERS) <br /> Facility ID FA0022981 <br /> 620 S SACRAMENTO ST Account ID AR00 <br /> LODI, CA 95240 issued 12/30/1 2 202222 <br /> Billing Address: ATTN : PENA, MARIAS <br /> PENAS TAQUERIA(3 VEHS) <br /> 537 SWALLOW LN <br /> LODI, CA 95240 <br /> 7016.rpt End of Report <br />
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