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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1187
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1600 - Food Program
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PR0163377
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BILLING_2023
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Entry Properties
Last modified
6/2/2023 12:19:10 PM
Creation date
6/2/2023 12:13:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0163377
PE
1619
FACILITY_ID
FA0022702
FACILITY_NAME
SAFEWAY #3124
STREET_NUMBER
1187
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1187 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0041569 NASC.TAX@SAFEWAY.COM;bl_alb@cscglobal.com
EmailSent
6/2/2023 12:19:08 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0163377
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 1619 RETAIL MKT>1000 SQ FT(=/>2 DEPTS) <br /> Permit ID# PT0000839 for Record ID# PR0163377 <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: SAFEWAY INC <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SAFEWAY#3124 Facility ID FA0022702 <br /> 1187 S MAIN ST Account ID AR0041569 <br /> MANTECA, CA 95336 Issued 6/2/2023 <br /> Billing Address: ATTN : NASC-TAX <br /> SAFEWAY#3124 <br /> PO BOX 29096 MS 6516 <br /> PHOENIX,AZ 85038 <br /> 7024.rpt End of report <br />
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