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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548727
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Entry Properties
Last modified
11/15/2023 10:46:43 AM
Creation date
11/15/2023 10:42:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548727
PE
1624
FACILITY_ID
FA0027894
FACILITY_NAME
CENTRAL COFFEE COMPANY LLC
STREET_NUMBER
624
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
624 N CENTRAL AVE
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0054212 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0027894 <br /> Date Printed 10/3/2023 <br /> SPRAGGE, SUZANNE R RE : CENTRAL COFFEE COMPANY LLC <br /> CENTRAL COFFEE COMPANY LLC 624 N CENTRAL AVE <br /> 740 ROCKPORT CT TRACY, CA 95376 <br /> TRACY, CA 95377 <br /> OWNER : SPRAGGE, SUZANNE R <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0388306---Date of Invoice: 10/3/2023 11111 1111 111111 11111 1111 IN <br /> 10/3/2023 1624 RESTAURANT/BAR 21-50 SEATS PR0548727 $ 355.00 <br /> Total for this Invoice $ 355.00 <br /> 11/30/2023 <br /> TOTAL DUE this Billing Period $ 355.00 <br /> v� <br /> D <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sjyov.orci/deaartmenVenvhealt[Vfees/online-fee-{payment' <br /> Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt laid of report <br />
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