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Environmental Health - Public
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EHD Program Facility Records by Street Name
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2626
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1600 - Food Program
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PR0536576
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Last modified
11/12/2020 2:33:42 PM
Creation date
11/12/2020 2:33:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0536576
PE
1634
FACILITY_ID
FA0020999
FACILITY_NAME
NANA'S ICE CREAM #7V37692
STREET_NUMBER
2626
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95205
APN
11736047
CURRENT_STATUS
02
SITE_LOCATION
2626 N WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQ _ ; COUNTY ENVIRONMENTAL HEA_ _i DEPARTMENT <br />1868 E. Hazelton Ave. a Stockton, CA 95205-6232 o Phone (209) 468-3420 <br />Linda Turkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE 1634 - FOOD VEHICLEXART (PREPKGD ONLY) # S181487 <br />Permit ID # PT0022375 for Record ID # PR0536576 <br />VEHICLE LIC # 7V37692 <br />Valid From 4/4/2018 To 12/3112018 <br />PERMITS TO OPERATE we NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: LUA, EZEQUIEL <br />DBA: NANA'S ICE CREAM <br />I THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: NANA'S ICE CREAM 47V37692 <br />2626 N WEST LN . <br />STOCKTON, CA 95205 <br />Billing Address: ATTN: LUA, EZEQUIEL <br />NANNS ICE CREAM #7V37692 <br />1728 CHRONICLE AVE <br />STOCKTON, CA 95205 <br />701e.ryt <br />Facility ID FA0020999 <br />Account ID AR0037791 <br />issued 4/4/2018 <br />
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