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EHD Program Facility Records by Street Name
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3412
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1600 - Food Program
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PR0549057
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Last modified
5/17/2024 8:55:07 AM
Creation date
5/17/2024 8:54:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0549057
PE
1634
FACILITY_ID
FA0028163
FACILITY_NAME
PALETERIA UNICA #8TET462
STREET_NUMBER
3412
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14339016
CURRENT_STATUS
01
SITE_LOCATION
3412 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\ymoreno
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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 1634 - FOOD 'VEHICLE/CART (PREPKGD ONLY) <br />Permit ID # PT0029762 for Record ID # PR0549057 <br />VEHICLE LIC # 8TET462 <br />Valid From 4/25/2024 To 1 2/3 112024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: ZAVALA-MEDINA, JAIME <br />DBA: PALETERIA UNICA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />Billing Address: <br />7016.rpt <br />PALETERIA UNICA #8TET462 <br />3412 E MINER AVE <br />STOCKTON, CA 95205 <br />ATTN : ZAVALA-MEDINA, JAIME <br />PALETERIA UNICA #8TET462 <br />8180 BRADY RD <br />MANTECA, CA 95337 <br />Facility ID FA0028163 <br />Account ID AR0054819 <br />Issued 4/25/2024 <br />End of Report
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