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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SEVENTH
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1211
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1600 - Food Program
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PR0548740
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Entry Properties
Last modified
11/20/2023 2:11:01 PM
Creation date
11/20/2023 2:10:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548740
PE
1633
FACILITY_ID
FA0019589
FACILITY_NAME
MELYS CHURROS
STREET_NUMBER
1211
Direction
S
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
MODESTO
Zip
95351
CURRENT_STATUS
01
SITE_LOCATION
1211 S SEVENTH ST
P_LOCATION
98
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton 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 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S239721 <br />Permit H) # PT0029497 for Record II) # PR0548740 <br />VEHICLE LIC # 4VB8920 <br />Valid From 10/6/2023 To 12/31/2 023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: GONZALEZ, PANFILO & GONZALEZ, MARTHA <br />DBA: MELYS CHURROS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MELYS CHURROS <br />1211 S SEVENTH ST <br />MODESTO, CA 95351 <br />Facility ID FA0019589 <br />Account el ID A:11201013408273i <br />Issued <br />7016.rpt <br />Billing Address: ATTN : GONZALEZ, MARTHA <br />MELYS CHURROS <br />8446 SUNNY LAKE WAY <br />SACRAMENTO, CA 95823-5735
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