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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SEVENTH
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1211
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1600 - Food Program
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PR0547907
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BILLING
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Entry Properties
Last modified
10/25/2024 4:27:43 PM
Creation date
5/5/2023 8:26:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547907
PE
1633 - FOOD VEHICLE/CART (LTD FOOD PREP)
FACILITY_ID
FA0027311
FACILITY_NAME
JILL'S FRUIT ON TOP
STREET_NUMBER
1211
Direction
S
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
MODESTO
Zip
95351
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1211 S SEVENTH ST MODESTO 95351
Tags
EHD - Public
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THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />.% I <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 1633 - FOOD 'VEHICLE/CART (LTD FOOD PREP) # S239591 <br />Permit ID # PT0028814 for Record ID # PR0547907 <br />VEHICLE LIC # 4UH6903 <br />Valid From 1/1/2023 To 12/31/2023 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> <br />I <br /> <br />PERMIT(s) Valid only for: MACIAS, JILL <br />DBA: JILL'S FRUIT ON TOP <br />Regulated Facility: JILL'S FRUIT ON TOP <br /> Facility ID FA0027311 <br />1211 S SEVENTH ST <br /> Account ID AR0052496 <br />MODESTO, CA 95351 <br /> Issued 3/31/2023 <br />Billing Address: <br />7016.rpt <br />ATTN : MACIAS, JILL <br />JILL'S FRUIT ON TOP <br />1400 DIVINE LN <br />TRACY, CA 95376 <br />End of Report
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