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EHD Program Facility Records by Street Name
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FORT DONELSON
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4131
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3600 - Recreational Health Program
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PR0548974
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Entry Properties
Last modified
3/27/2024 10:44:00 AM
Creation date
3/27/2024 10:43:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
BILLING
RECORD_ID
PR0548974
PE
1636
FACILITY_ID
FA0025042
FACILITY_NAME
CASA DE LA MIEL
STREET_NUMBER
4131
STREET_NAME
FORT DONELSON
STREET_TYPE
DR
City
STOCKTON
Zip
95219
CURRENT_STATUS
01
SITE_LOCATION
4131 FORT DONELSON DR
P_LOCATION
01
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 # PT0029696 for Record 111 # PR0548974 <br />VEHICLE LIC # 87064S2 <br />Valid From 2/2 9/2 024 To 1 2/31/2024 <br />PERMTTS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: JIMENEZ NERIA, MARIA CRISTINA <br />DBA: CASA DE LA MIEL <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: CASA DE LA MIEL <br />4131 FORT DONELSON DR <br />STOCKTON, CA 95219 <br />Facility ID FA0025042 <br />Account ID AR0047036 <br />Issued 3/6/2024 <br />7016.rpt <br />Billing Address: ATTN : JIMENEZ NERIA, MARIA CRISTINA <br />CASA DE LA MIEL <br />4131 FORT DONELSON DR <br />STOCKTON, CA 95219 <br />End of Report
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