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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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2620
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1600 - Food Program
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PR0548377
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Entry Properties
Last modified
6/16/2023 1:37:27 PM
Creation date
6/16/2023 1:35:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548377
PE
1615
FACILITY_ID
FA0027622
FACILITY_NAME
TIPICOS Y VARIDADES BAUTISTA
STREET_NUMBER
2620
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
2620 E WATERLOO RD #2
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton 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 # PT0029187 for Record ID # PR0548377 <br />Valid From 4/18/2023 To 4/30/2024 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause I <br />PERMIT(s) Valid only for: PABLO PABLO, IRMINA <br />DBA: TIPICOS Y VARIDADES BAUTISTA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> I <br />Regulated Facility: TIPICOS Y VARIDADES BAUTISTA <br />Facility ID FA0027622 <br />2620 E WATERLOO RD #2 <br />Account ID AR0053558 <br />STOCKTON, CA 95205 <br />Issued 4/19/2023 <br />Billing Address: <br />7024.rpt <br />ATTN : PABLO PABLO, IRMINA <br />TIPICOS Y VARIDADES BAUTISTA <br />1069 N WILSON WAY <br />STOCKTON, CA 95205 <br />End of report
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