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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1885
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1600 - Food Program
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PR0519192
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BILLING_2023
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Entry Properties
Last modified
11/19/2024 10:19:19 AM
Creation date
6/2/2023 9:55:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0519192
PE
1615
FACILITY_ID
FA0014350
FACILITY_NAME
CVS PHARMACY #3908
STREET_NUMBER
1885
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
St
City
TRACY
Zip
95376
APN
23217021
CURRENT_STATUS
01
SITE_LOCATION
1885 W ELEVENTH St
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0024383 NONPHARMACYPERMITS@CVSHEALTH.COM;
EmailSent
6/2/2023 9:59:17 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0519192
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 1615 RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Permit ID# PT0012320 for Record ID # PR0519192 <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: LONGS DRUG STORES CALIFORNIA, L.L.C. <br /> DBA: CVS/PHARMACY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CVS PHARMACY#3908 Facility ID FA0014350 <br /> 1885 W ELEVENTH ST Account ID AR0024383 <br /> TRACY, CA 95376 Issued 6/2/2023 <br /> Billing Address: ATTN : CVS PHARMACY#3908 <br /> CVS HEALTH,ATTN: ERIN CHILINSKI, CORP SVCS, LEGAL <br /> ONE CVS DRIVE—MC 1160 <br /> WOONSOCKET, RI 02895 <br /> 7024.rpt End of report <br />
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