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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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5611
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1600 - Food Program
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PR0161896
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BILLING_2021
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Entry Properties
Last modified
10/28/2021 2:27:16 PM
Creation date
10/28/2021 2:24:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0161896
PE
1617
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0002171 LHUSSAIN402@GMAIL.COM;
EmailSent
10/28/2021 2:27:16 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0161896
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 # PT0002152 for Record ID # PR0161896 <br />Valid From 12/1/2021 To 11/30/2022 <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 />NAZISH , HUSSAIN <br />TIGER EXPRESS #2 <br />Regulated Facility: <br />5611 E WATERLOO RD <br />STOCKTON, CA 95215 <br />Facility ID <br />Account ID <br />Issued <br />FA0002160 <br />AR0002171 <br />10/28/2021 <br />BLACKHAWK PETROLEUM INC. <br />NAZISH HUSSAINATTN : Billing Address: <br />BLACKHAWK PETROLEUM <br />5611 E WATERLOO RD <br />STOCKTON, CA 95215 <br />End of reportcombined.rpt
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