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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BLUE FOX
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9143
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1600 - Food Program
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PR0548541
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Entry Properties
Last modified
9/18/2024 9:15:39 AM
Creation date
9/13/2023 8:38:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548541
PE
1608
FACILITY_ID
FA0027747
FACILITY_NAME
CULEBRA COFFEE
STREET_NUMBER
9143
STREET_NAME
BLUE FOX
STREET_TYPE
WAY
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
9143 BLUE FOX WAY
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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PROGRAM ELEMENT 1608 FEE 186 E Surcha .e F I=1 Other FEE <br />INSPECTOR # 9825 PERMIT VALID NO 4,o, to D , . <br />III <br />Food Ha <br />Check # V 1/5 r AMOUNT PAID liu Date 'Er ' NVOICE # .2.-----3 <br />CI <br />O Cash REVIEWED BY ACCOUNTING OFFICE Date i‘-‘16.42—Cois <br />48-02-034 MASTERFILE RECORD INFORMATION PINK 1/23/13 <br />PAYMENT <br />RECEIVED <br />JUN 3 0 2023 <br />SAN JOAQIJIN COUNI Y <br />ENVIRONMENTAL <br />HEALTH DEPART MIN I
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