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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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PACIFIC
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3210
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1600 - Food Program
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PR0548621
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BILLING_2023
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Entry Properties
Last modified
8/14/2023 8:52:10 AM
Creation date
8/11/2023 12:13:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0548621
PE
1623
FACILITY_ID
FA0027808
FACILITY_NAME
GROUNDSTACK COFFEE
STREET_NUMBER
3210
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
3210 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
EmailAddr
AR0053969 groundstackcoffee@gmail.com;markfbrion@gmail.com
EmailSent
8/11/2023 11:36:55 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0548621
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 1623 RESTAURANT/BAR 1-20 SEATS <br /> Permit ID# PT0029381 for Record ID# PR0548621 <br /> Valid From 8/11/2023 To 8/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BRION, MARK JUSTIN F <br /> DBA: GROUNDSTACK COFFEE - FLOBRI LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: GROUNDSTACK COFFEE Facility ID FA0027808 <br /> 3210 PACIFIC AVE Account ID AR0053969 <br /> STOCKTON, CA 95204 Issued 8/11/2023 <br /> Billing Address: ATTN : BRION, MARK JUSTIN <br /> GROUNDSTACK COFFEE <br /> 10616 SISKIYOU LN <br /> STOCKTON, CA 95209 <br /> 7024.rpt End of report <br />
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