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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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PR0516382
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Entry Properties
Last modified
4/4/2024 4:41:17 PM
Creation date
4/4/2024 4:40:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0516382
PE
1635
FACILITY_ID
FA0012589
FACILITY_NAME
LA POBLANA #68332U1
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16904012
CURRENT_STATUS
01
SITE_LOCATION
1717 S UNION ST
P_LOCATION
01
P_DISTRICT
001
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 1635 - MOBILE FOOD PREPARATION UNIT (MFP1U) <br />Permit ID # PT0011265 for Record ID # PR0516382 <br />VEHICLE LIC # 68332U1 <br />Valid From 1 /1 /2024 To 1 2/31/2024 <br />PERM-11'S TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: RAM IREZ, FATIMA <br />DBA: LA POBLANA <br />I. THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LA POBLANA#68332U1 <br />1717 S UNION ST <br />STOCKTON, CA 95206 <br />Billing Address: ATTN : RAMIREZ, FATIMA <br />LA POBLANA#68332U1 <br />2520 BACON ST <br />STOCKTON, CA 95205 <br />combinedrpt <br />Facility ID FA0012589 <br />Account ID AR0020781 <br />Issued 3/7/2024 <br />End of report
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