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Environmental Health - Public
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EHD Program Facility Records by Street Name
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MINER
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3412
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1600 - Food Program
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PR0546928
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Entry Properties
Last modified
4/5/2023 4:12:47 PM
Creation date
6/10/2021 12:52:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546928
PE
1634
FACILITY_ID
FA0020999
FACILITY_NAME
NANA'S ICE CREAM #99132V2
STREET_NUMBER
3412
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14339016
CURRENT_STATUS
01
SITE_LOCATION
3412 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\bmascaro
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Haze1ton 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 1634 - FOOD VEHICLE/CART (PREPKGD ONLY) # S239097 <br />Permit ID # PT0028098 for Record ID # PR0546928 <br />VEHICLE LIC # 99132V2 <br />Valid From 1/1/2023 To 12/31/2 023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERM IT(S) Valid only for: LUA, EZEQUIEL <br />DBA: NANA'S ICE CREAM <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: NANA'S ICE CREAM #99132V2 <br /> Facility ID FA0020999 <br />3412 E MINER AVE <br /> Account ID AR0037791 <br />STOCKTON, CA 95205 <br /> Issued 12/1/2022 <br />Billing Address: <br />7016.rpt <br />ATTN LUA, EZEQUIEL <br />NANA'S ICE CREAM #99132V2 <br />1728 CHRONICLE AVE <br />STOCKTON, CA 95205 <br />End of Report
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