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1600 - Food Program
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PR0540334
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Last modified
1/16/2024 4:27:44 PM
Creation date
1/16/2024 4:27:19 PM
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EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0540334
STREET_NUMBER
0
QC Status
Approved
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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. 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) <br />Permit ID # PT0024810 for Record ID # PR0540334 <br />VEHICLE LIC # 67328U1 <br />Valid From 1/1/2024 To 12/31/2024 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br /> <br />PERMIT(s) Valid only for: DUNCAN, DAVID <br />DBA: KONA ICE OF TRACY <br />Regulated Facility: KONA ICE OF TRACY #67328U1 <br />Facility ID FA0023058 <br />1717 UNION ST <br />Account ID AR0042315 <br />STOCKTON, CA 95206 <br />Issued 12/13/2023 <br />Billing Address: <br />combinedrpt <br />ATTN : DUNCAN, DAVID <br />KONA ICE OF TRACY #67328U1 <br />681 SAFFRON DR <br />TRACY, CA 95377 <br />End of report
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