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1600 - Food Program
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PR0546934
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Entry Properties
Last modified
10/19/2023 3:51:23 PM
Creation date
10/19/2023 3:50:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546934
PE
1695
FACILITY_ID
FA0026602
FACILITY_NAME
MARKET ON MAPLE
STREET_NUMBER
0
Direction
N
STREET_NAME
MAPLE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
N MAPLE AVE
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Haze1ton 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 1695 - TEMPORARY EVENT <br />Permit ID # PT0028104 for Record ID # PR0546934 <br />Valid From 5/14/2023 To 10/29/2024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: DUTRA, CHRISTOPHER <br />DBA: SAN JOAQUIN CERT FARMERS MKT <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MARKET ON MAPLE <br /> Facility ID FA0026602 <br />N MAPLE AVE <br /> Account ID AR0050636 <br />MANTECA CA 95336 <br /> Issued 4/7/2023 <br />Billing Address: <br />7020.rpt <br />ATTN : DUTRA, CHRISTOPHER <br />MARKET ON MAPLE <br />PO BOX 55187 <br />STOCKTON CA 95205 <br />End of Report
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