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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547748
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BILLING_2023
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Entry Properties
Last modified
7/3/2023 4:37:22 PM
Creation date
7/3/2023 3:37:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0547748
PE
1617
FACILITY_ID
FA0027196
FACILITY_NAME
LA PETITE VINE
STREET_NUMBER
105
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
105 W MAIN ST
P_LOCATION
05
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0052210 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547748
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 1617 RETAIL MARKET> 1000 SQ FT W/FOOD PREP <br /> Permit ID# PT0028693 for Record ID # PR0547748 <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: WILSON, KYNDRA <br /> DBA: K& COMPANY, LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA PETITE VINE Facility ID FA0027196 <br /> 105 W MAIN ST Account ID AR0052210 <br /> RIPON, CA 95366 Issued 7/3/2023 <br /> Billing Address: ATTN : <br /> LA PETITE VINE <br /> 105 W MAIN ST <br /> RIPON, CA 95366 <br /> 7024.rpt End of report <br />
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