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BILLING_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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1906
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1600 - Food Program
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PR0548389
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BILLING_2024
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Entry Properties
Last modified
4/11/2024 4:35:14 PM
Creation date
4/11/2024 4:28:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2024
RECORD_ID
PR0548389
PE
1616
FACILITY_ID
FA0027633
FACILITY_NAME
ADAM AQUA BLUE WATER
STREET_NUMBER
1906
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1906 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0053579 nabil.asaad@gmail.com;adamaquabluewater@gmail.com
EmailSent
4/11/2024 4:35:12 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0548389
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton 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 1616 RETAIL MARKET< 1000 SQ FT W/FOOD PREP <br /> Permit ID# PT0029194 for Record ID # PR0548389 <br /> Valid From 5/1/2024 To 4/30/2025 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ASAAD, NABIL <br /> DBA: ADAM WATER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ADAM AQUA BLUE WATER Facility ID FA0027633 <br /> 1906 W GRANT LINE RD Account ID AR0053579 <br /> TRACY, CA 95376 Issued 4/11/2024 <br /> Billing Address: ATTN : ASAAD, NABIL <br /> ADAM AQUA BLUE WATER <br /> 1906 W GRANT LINE RD <br /> TRACY, CA 95376 <br /> 7024.rpt End of report <br />
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