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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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PR0542925
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Entry Properties
Last modified
5/15/2024 2:21:15 PM
Creation date
3/3/2021 4:22:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0542925
PE
1635
FACILITY_ID
FA0016653
FACILITY_NAME
MUDVILLE MCS #4RC1490
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16904013
CURRENT_STATUS
01
SITE_LOCATION
1717 S UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
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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 /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1635-MOBILE FOOD PREPARATION UNIT(1VII+PU)#S227381 <br /> Permit ID #PT0026074 for Record ID #PRO542925 <br /> VEHICLE LIC #4RC1490 <br /> Valid From 1/1/2022 To 12/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MUDVILLE MCS ENTERPRISES LLC <br /> DBA: MUDVILLE MCS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MUDVILLE MCS#4RC1490 Fac➢ity Io FA0016653 <br /> 1717 S UNION ST Account iD AR0029493 <br /> STOCKTON, CA 95206 issued 1/13!2022 <br /> Billing Address: ATTN : MCDANIEL, MARCU <br /> MUDVILLE MCS#4RC1490 <br /> 3243 ANNE ST <br /> STOCKTON, CA 95206 <br /> 701&mt End of Report <br />
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