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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GOLDEN GATE
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1600 - Food Program
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PR0546454
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Entry Properties
Last modified
11/30/2023 4:13:33 PM
Creation date
11/30/2023 4:13:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546454
PE
1636
FACILITY_ID
FA0022772
FACILITY_NAME
ROMAN'S FOOD #4RC1485
STREET_NUMBER
972
Direction
N
STREET_NAME
GOLDEN GATE
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
972 N GOLDEN GATE AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />o <br />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 1636 - LTD FOOD VEHICLE (PRODUCE/WHOLE FISH) <br />Permit ID # PT0027806 for Record ID # PR0546454 <br />VEHICLE LIC # 4RC1485 <br />Valid From 1/1/2023 To 12/31/2023 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> <br /> I <br /> <br />PERMIT(s) Valid only for: ROMAN ARREDONDO, MANUEL E <br />DBA: ROMAN'S FOOD <br />Regulated Facility: <br />Billing Address: <br />combined rpt <br />ROMAN'S FOOD #4RC1485 <br />972 N GOLDEN GATE AVE <br />STOCKTON, CA 95205 <br />ATTN : ROMAN ARREDONDO, MANUEL E <br />ROMAN'S FOOD #4RC1485 <br />972 N GOLDEN GATE AVE <br />STOCKTON, CA 95205 <br />Facility ID FA0022772 <br />Account ID AR0041737 <br />Issued 11/8/2023 <br />End of report
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