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BILLING_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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6732
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1600 - Food Program
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PR0161925
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BILLING_2021
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Entry Properties
Last modified
6/23/2021 9:13:12 AM
Creation date
6/23/2021 9:02:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0161925
PE
1617
FACILITY_ID
FA0002458
FACILITY_NAME
THREE PALMS GROCERY STORE
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0004716 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0161925
Tags
EHD - Public
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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1617 - RETAIL MARKET > 1000 SQ FT W / FOOD PREP <br />Permit ID # PT0002450 for Record ID # PR0161925 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />NUNEZ, DAVID JR <br />THREE PALMS GROCERY STORE <br />Regulated Facility: <br />6732 E WATERLOO RD <br />STOCKTON, CA 95215 <br />Facility ID <br />Account ID <br />Issued <br />FA0002458 <br />AR0004716 <br />6/23/2021 <br />THREE PALMS GROCERY STORE <br />NUNEZ, DAVID JRATTN : Billing Address: <br />THREE PALMS GROCERY STORE <br />6732 E WATERLOO RD <br />STOCKTON, CA 95215 <br />End of reportcombined.rpt
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