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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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TULLY
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17201
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4600 - Public Water System Program
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PR0543080
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BILLING_2023
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Entry Properties
Last modified
5/30/2023 11:55:52 AM
Creation date
5/30/2023 11:22:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4600 - Public Water System Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0543080
PE
4621
FACILITY_ID
FA0004405
FACILITY_NAME
HAYNES BOARD & CARE HOME
STREET_NUMBER
17201
Direction
N
STREET_NAME
TULLY
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05303037
CURRENT_STATUS
01
SITE_LOCATION
17201 N TULLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0004087 HAYNES@SOFTCOM.NET;
EmailSent
5/30/2023 11:55:50 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0543080
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 /> ANNUAL OPERATING FEE PAID- PE 4621 - SMALL COMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026678 for Record ID# PR0543080 <br /> Valid From 7/1/2023 To 6/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HAYNES, RONALD E <br /> DBA: HAYNES BOARD &CARE HOME <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: HAYNES BOARD & CARE HOME Facility ID FA0004405 <br /> 17201 N TULLY RD Account ID AR0004087 <br /> LODI CA 95240 Issued 5/30/2023 <br /> Billing Address: ATTN : RONALD HAYNES <br /> HAYNES BOARD & CARE HOME <br /> 17201 N TULLY RD <br /> LODI CA 95240 <br /> 7027.rpt End of Report <br />
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