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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548344
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Entry Properties
Last modified
5/30/2023 1:57:59 PM
Creation date
5/30/2023 1:52:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548344
PE
1632
FACILITY_ID
FA0027601
FACILITY_NAME
KIPP UNIVERSITY PARK MIDDLE SCHOOL
STREET_NUMBER
820
Direction
N
STREET_NAME
AMERICAN
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
820 N AMERICAN ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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i <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Haze1ton 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 1632 EXEMPT FOOD <br />Permit ID # PT0029160 for Record ID # PR0548344 <br />Valid From 9/21/2022 To 6/30/2023 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br />PERMIT(s) Valid only for: KIPP UNIVERSITY PARK MIDDLE SCHOOL <br />DBA: KIPP UNIVERSITY PARK MIDDLE SCHOOL <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />III <br />Regulated Facility: KIPP UNIVERSITY PARK MIDDLE SCHOOL <br />820 N AMERICAN ST <br />STOCKTON, CA 95202 <br />Facility ID FA0027601 <br />Account ID AR0053429 <br />Issued 3/29/2023 <br />Billing Address: <br />7024.rpt <br />ATTN : ALVARDO, MIREYA <br />KIPP UNIVERSITY PARK MIDDLE SCHOOL <br />820 N AMERICAN ST <br />STOCKTON, CA 95202 <br />End of report
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