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EHD Program Facility Records by Street Name
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CLAY STATION
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12154
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1600 - Food Program
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PR0548776
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Entry Properties
Last modified
12/4/2023 2:41:00 PM
Creation date
12/4/2023 2:40:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548776
PE
1636
FACILITY_ID
FA0021872
FACILITY_NAME
CRUZ PRODUCE #67220G3
STREET_NUMBER
12154
STREET_NAME
CLAY STATION
STREET_TYPE
RD
City
HERALD
Zip
95638
CURRENT_STATUS
01
SITE_LOCATION
12154 CLAY STATION RD
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 1636 - LTD FOOD VEHICLE (PRODUCE/WHOLE FISH) <br />Permit ID # PT0029528 for Record ID # PR0548776 <br />VEHICLE LIC # 67220G3 <br />Valid From 11/2/2023 To 1 2/3 1/2024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: CRUZ, ESTEBAN & ELVIRA <br />DBA: CRUZ PRODUCE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: CRUZ PRODUCE #67220G3 Facility ID FA0021872 <br />12154 CLAY STATION RD Account ID AR0039832 <br />HERALD, CA 95638 <br /> Issued 11/7/2023 <br />Billing Address: <br />7016.rpt <br />ATTN : CRUZ, ESTEBAN & ELVIRA <br />CRUZ PRODUCE #67220G3 <br />12154 CLAY STATION RD <br />HERALD, CA 95638 <br />End of Renort
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