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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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PR0536928
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Last modified
7/9/2020 10:45:19 AM
Creation date
7/9/2020 10:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0536928
PE
1682
FACILITY_ID
FA0021198
FACILITY_NAME
SJ CERT FARMERS MKT / LATHROP
STREET_NUMBER
15557
STREET_NAME
FIFTH
STREET_TYPE
ST
City
LATHROP
Zip
95390
APN
19119064
CURRENT_STATUS
02
SITE_LOCATION
15557 FIFTH ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
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 />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1682 CERTIFIED FARMERS MARKET SITE <br />Permit ID # PT0022562 for Record ID # PR0536928 <br />Valid From 4/112013 To 3/31/2014 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: DUTRA, CARLOS A <br />DBA: SAN JOAQUIN CERT FARMERS MKT <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: SJ CERT FARMERS MKT / LATHROP Facility ID FA0021198 <br />RIVER ISLAND PKWY Account ID AR0038268 <br />LATHROP, CA 95330 Issued 3/7/2013 <br />Billing Address: ATTN : CARLOS DUTRA <br />SJ CERT FARMERS MKT / LATHROP <br />6912 E MAIN ST <br />STOCKTON, CA 95215 <br />
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