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EHD Program Facility Records by Street Name
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BASS PRO
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1434
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1600 - Food Program
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PR0548957
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Entry Properties
Last modified
4/4/2024 3:27:44 PM
Creation date
4/4/2024 3:27:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548957
PE
1695
FACILITY_ID
FA0028075
FACILITY_NAME
BUTLER FAMILY FUN LLC
STREET_NUMBER
1434
STREET_NAME
BASS PRO
STREET_TYPE
DR
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
1434 BASS PRO DR
P_LOCATION
04
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 1695 - TEMPORARY EVENT <br />Permit ID # PT0029677 for Record ID # PR0548957 <br />Valid From 3/29/2024 To 4/7/2024 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br />PERMIT(s) Valid only for: BRAJEVICH, MICHAEL <br />DBA: BUTLER FAMILY FUN LLC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> <br />o <br />Regulated Facility: BUTLER FAMILY FUN LLC <br />1434 BASS PRO DR <br />MANTECA CA 95337 <br />Facility ID FA0028075 <br />Account ID AR0054601 <br />Issued 2/27/2024 <br />Billing Address: ATTN : BRAJEVICH, MICHAEL <br />BUTLER FAMILY FUN LLC <br />13230 E 45TH DR <br />YUMA AZ 85367 <br />7020.rpt End of Report
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