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Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2458
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1600 - Food Program
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PR0535681
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Entry Properties
Last modified
7/23/2020 11:16:54 AM
Creation date
7/23/2020 11:16:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0535681
PE
1618
FACILITY_ID
FA0020570
FACILITY_NAME
FAMILY MART
STREET_NUMBER
2458
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14128222
CURRENT_STATUS
02
SITE_LOCATION
2458 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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l <br /> 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 - 1618 RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) <br /> Permit ID# PT0021854 for Record ID# PR0535681 <br /> Valid From 6/1/2013 To 5/31/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE - <br /> and may be SUSPENDED or REVOKED for cause. . . <br /> PERMIT(s)Valid only for: KHAN, MAMTAZ <br /> DBA: FAMILY MART <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FAMILY MART Facility to FA0020570 <br /> 2458 E WATERLOO RD Account ID AR0036837 <br /> STOCKTON, CA 95205 Issued 5/1/2013 <br /> Billing Address: ATTN : MAMTAZ KHAN <br /> FAMILY MART <br /> PO BOX 1391 <br /> LODI, CA 95241 <br />
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