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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0543515
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Entry Properties
Last modified
2/15/2024 10:58:43 AM
Creation date
4/5/2023 3:00:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0543515
PE
1635
FACILITY_ID
FA0024704
FACILITY_NAME
LAS PERLAS #19503W1
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
Scanner
SJGOV\ymoreno
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EHD - Public
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THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES 1 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton 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) <br />Permit ID # PT0026168 for Record ID # PR0543515 <br />VEHICLE LIC # 19503W1 <br />Valid From 1/1/2024 To 12/31/2024 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br /> <br />PERMIT(s) Valid only for: COBIAN MORALES, MAN RIQUE G <br />DBA: <br />Regulated Facility: LAS PERLAS #19503W1 B16106 <br />Facility ID FA0024704 <br />620 S SACRAMENTO ST <br /> <br />Account ID AR0046235 <br />LODI, CA 95240 <br />Issued 12/5/2023 <br />Billing Address: <br />combinedrpt <br />ATTN : COBIAN MORALES, MANRIQUE G <br />LAS PERLAS #19503W1 B16106 <br />517 MOCKINGBIRD DR <br />LODI, CA 95240 <br />End of report
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