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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0548302
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Entry Properties
Last modified
2/1/2024 9:39:55 AM
Creation date
2/1/2024 9:39:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548302
PE
1635
FACILITY_ID
FA0022981
FACILITY_NAME
PENAS TAQUERIA (3 VEHS)
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
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EHD - Public
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SAN JOAQ1UTN COUNTY ENVIRONMENTAL ITEAL171 DEPARTMENT <br />1868 E. HazeIton Ave • Stockton, CA 95205-62320 Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1635 - MOBILE FOOD PREPARATION UNIT (MFPU) <br />Permit ID it PT0029126 for Record ID # PR0548302 <br />VEHICLE LIC # 4VM1573 <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: PENA, MARIA S <br />DBA: PENAS TAQUERIA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: PENAS TAQUERIA (4 VEHS) <br /> Facility ID FA0022981 <br />620 S SACRAMENTO ST <br /> Account ID AR0042149 <br />LODI, CA 95240 <br /> Issued 12/13/2023 <br />Billing Address: <br />7016 rpt <br />ATTN : PENA, MARIA S <br />PENAS TAQUERIA (4 VEHS) <br />537 SWALLOW LN <br />LODI, CA 95240 <br />End of Report
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