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BILLING_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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REYNOLDS RANCH
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3021
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1600 - Food Program
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PR0529100
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BILLING_2024
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Entry Properties
Last modified
12/5/2023 4:51:17 PM
Creation date
12/5/2023 4:46:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2024
RECORD_ID
PR0529100
PE
1626
FACILITY_ID
FA0019418
FACILITY_NAME
BLUE SHIELD OF CALIFORNIA
STREET_NUMBER
3021
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
APN
05865005
CURRENT_STATUS
01
SITE_LOCATION
3021 REYNOLDS RANCH PKWY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0034531 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0529100
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 1626 RESTAURANT/BAR 101 + SEATS <br /> Permit ID# PT0020041 for Record ID # PR0529100 <br /> Valid From 1/1/2024 To 12/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BLUE SHIELD OF CALIFORNIA <br /> DBA: BLUE SHIELD OF CALIFORNIA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLUE SHIELD OF CALIFORNIA Facility ID FA0019418 <br /> 3021 REYNOLDS RANCH PKWY Account ID AR0034531 <br /> LODI, CA 95240 Issued 12/5/2023 <br /> Billing Address: ATTN : FACILITIES <br /> BLUE SHIELD/CONCUR INVOICE CAPTURE <br /> 10700 PRAIRIE LAKES DR <br /> EDEN PRAIRIE, MN 55344 <br /> 7024.rpt End of report <br />
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