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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SACRAMENTO
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1600 - Food Program
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PR0548393
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BILLING_2023
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Entry Properties
Last modified
4/28/2023 2:33:38 PM
Creation date
4/28/2023 2:32:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0548393
PE
1635
FACILITY_ID
FA0027637
FACILITY_NAME
IGNIS PROVISIONS #4VD5058
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 - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0053585 ignisprovisions@gmail.com;
EmailSent
4/28/2023 2:33:33 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0548393
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 1635-MOBILE FOOD PREPARATION UNIT(MFPU)# S239616 <br /> Permit ID # PT0029198 for Record ID # PR0548393 <br /> VEHICLE LIC #4VD5058 <br /> Valid From 4/26/2023 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: CORTEZ, DANIEL <br /> DBA: IGNIS PROVISIONS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0027637 <br /> Regulated Facility: IGNIS PROVISIONS#4VD5058 <br /> Account ID AR0053585 <br /> 620 S SACRAMENTO ST <br /> LODI, CA 95240 Issued 4/28/2023 <br /> Billing Address: ATTN : CORTEZ, DANIEL <br /> IGNIS PROVISIONS#4VD5058 <br /> 1031 S HAM LN <br /> LODI, CA 95242 <br /> 7016.rpt End of Report <br />
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