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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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864
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1600 - Food Program
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PR0547158
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BILLING_2023
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Entry Properties
Last modified
7/10/2023 9:55:09 AM
Creation date
7/10/2023 9:38:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0547158
PE
1614
FACILITY_ID
FA0026757
FACILITY_NAME
CRUMBL COOKIE
STREET_NUMBER
864
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
864 W BENJAMIN HOLT DR
P_LOCATION
01
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0051013 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547158
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 Kong,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1614 FOOD EST>1001 SQ FT W/O SEATING <br /> Permit ID# PT0028239 for Record ID # PR0547158 <br /> Valid From 8/1/2023 To 7/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BERTILACCHI, KATHERINE <br /> DBA: KTK CO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CRUMBL COOKIE Facility ID FA0026757 <br /> 864 W BENJAMIN HOLT DR Account ID AR0051013 <br /> STOCKTON, CA 95207 Issued 7/10/2023 <br /> Billing Address: ATTN : BERTILACCHI, KATHERINE <br /> CRUMBL COOKIE <br /> 3966 GLEN ABBY CIR <br /> STOCKTON, CA 95219 <br /> 7024.rpt End of report <br />
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