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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PESCADERO
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1005
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1600 - Food Program
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PR0543454
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BILLING_2023
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Entry Properties
Last modified
6/15/2023 4:09:56 PM
Creation date
6/15/2023 4:03:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0543454
PE
1621
FACILITY_ID
FA0024664
FACILITY_NAME
LA HUACANA ENTERTAINMENT
STREET_NUMBER
1005
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
1005 E PESCADERO AVE STE 221
P_LOCATION
03
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0046125 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0543454
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 1621 BAR W/O FOOD PREP <br /> Permit ID# PT0026142 for Record ID # PR0543454 <br /> Valid From 6/1/2023 To 5/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: QUINTANA, ROSAURA <br /> DBA: LA HUACANA ENTERTAINMENT <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA HUACANA ENTERTAINMENT Facility ID FA0024664 <br /> 1005 E PESCADERO AVE#221 Account ID AR0046125 <br /> TRACY, CA 95304 Issued 6/15/2023 <br /> Billing Address: ATTN : QUINTANA, ROSAURA <br /> LA HUACANA ENTERTAINMENT <br /> 4108 TIMELESS TRAIL DR <br /> MODESTO, CA 95356-8764 <br /> 7024.rpt End of report <br />
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