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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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NAGLEE
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2512
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1600 - Food Program
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PR0541494
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BILLING_2023
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Entry Properties
Last modified
10/25/2023 10:26:15 AM
Creation date
10/25/2023 10:21:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0541494
PE
1625
FACILITY_ID
FA0023789
FACILITY_NAME
CHIPOTLE MEXICAN GRILL #2865
STREET_NUMBER
2512
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2512 NAGLEE RD STE 100
P_LOCATION
03
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0044058 licensing@chipotle.com;CA.2865.Tracy@chipotle.com
EmailSent
10/25/2023 10:26:12 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0541494
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 1625 RESTAURANT/BAR 51-100 SEATS <br /> Permit ID# PT0025446 for Record ID# PR0541494 <br /> Valid From 12/1/2023 To 11/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CHIPOTLE MEXICAN GRILL INC <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CHIPOTLE MEXICAN GRILL#2865 Facility ID FA0023789 <br /> 2512 NAGLEE RD#100 Account ID AR0044058 <br /> TRACY, CA 95304 Issued 10/25/2023 <br /> Billing Address: ATTN : LICENSING <br /> CHIPOTLE MEXICAN GRILL#2865 <br /> PO BOX 182566 <br /> COLUMBUS, OH 43218 <br /> 7024.rpt End of report <br />
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