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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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1777
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1600 - Food Program
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PR0162945
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BILLING_2023
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Entry Properties
Last modified
3/6/2023 4:20:13 PM
Creation date
3/6/2023 4:06:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0162945
PE
1624
FACILITY_ID
FA0015780
FACILITY_NAME
KAISER PERMENANTE MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0027349 licensing.noram@sodexo.com;
EmailSent
3/6/2023 4:20:11 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0162945
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 1624 RESTAURANT/BAR 21-50 SEATS <br /> Permit ID# PT0000999 for Record ID # PR0162945 <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: SODEXO MAGIC LLC <br /> DBA: KP CAFE STOCKTON <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KAISER PERMENANTE MANTECA Facility ID FA0015780 <br /> 1777 W YOSEMITE AVE Account ID AR0027349 <br /> MANTECA, CA 95336 Issued 3/6/2023 <br /> Billing Address: ATTN : LICENSING <br /> KAISER PERMENANTE MANTECA <br /> PO BOX 352 <br /> BUFFALO, NY 14240-0352 <br /> 7024.rpt End of report <br />
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