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BILLING_2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0543634
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BILLING_2018
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Entry Properties
Last modified
4/20/2020 11:23:29 AM
Creation date
4/20/2020 11:23:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2018
RECORD_ID
PR0543634
PE
1633
FACILITY_ID
FA0024788
FACILITY_NAME
KONA ICE OF WEST SACRMENTO
STREET_NUMBER
1100
STREET_NAME
RICHARDS
STREET_TYPE
BLVD
City
SACRAMENTO
Zip
95811
CURRENT_STATUS
04
SITE_LOCATION
1100 RICHARDS BLVD
P_LOCATION
98
QC Status
Approved
Scanner
SShih
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EHD - Public
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SAN JOAQ COUNTY ENVIRONMENTAL HEAL— A DEPARTMENT <br />1868 E. Haze1ton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Linda Turkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S181550 <br />Permit ID # PT0026233 for Record ID # PR0543634 <br />VEHICLE LIC # 4PM5604 <br />Valid From 8/6/2 018 To 12/31/2018 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: FARR, STEVEN <br />DBA: KONA ICE OF WEST SACRAMENTO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />Billing Address: <br />KONA ICE OF WEST SACRMENTO <br />1100 RICHARDS BLVD <br />SACRAMENTO, CA 95811 <br />ATTN : FARR, STEVEN <br />KONA ICE OF WEST SACRMENTO <br />8637 MARMON WAY <br />SACRAMENTO, CA 95828 <br />Facility ID FA0024788 <br />Account ID AR0046405 <br />Issued 8/6/2018 <br />7016. rpt
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