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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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NORTH
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107
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1600 - Food Program
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PR0539463
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BILLING
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Entry Properties
Last modified
12/4/2025 9:04:03 AM
Creation date
12/4/2025 9:03:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0539463
PE
1624 - RESTAURANT/BAR 21-50 SEATS
FACILITY_ID
FA0022562
FACILITY_NAME
DOMINOS
STREET_NUMBER
107
Direction
W
STREET_NAME
NORTH
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21723311
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
107 10 W NORTH ST MANTECA 95336
Suite #
10
Tags
EHD - Public
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ENVIRONMENTAL HEALTH <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Facility ID: FA0022562 <br />Issued: 11/4/2025 <br />End of Report7024 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Avenue - Stockton, CA 95205-6232 - Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />PERMIT TO OPERATE - 1624 - RESTAURANT/BAR 21-50 SEATS <br />Record ID#PR0539463 <br />Valid From 09/01/2025 To 8/31/2026 <br />Regulated Facility: DOMINOS <br />107 W NORTH ST, 10 <br />MANTECA, CA 95336 <br />Billing Address: ATTN: DOMINOS <br />2930 GREER RD STE 174 <br />TURLOCK, CA 95382 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: TEAM CENTRAL VALLEY INC <br />DBA: DOMINOS
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