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BILLING_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PENROSE
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2760
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1600 - Food Program
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PR0547902
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BILLING_2022
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Entry Properties
Last modified
8/16/2022 11:14:33 AM
Creation date
8/16/2022 11:13:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0547902
PE
1632
FACILITY_ID
FA0027308
FACILITY_NAME
EPIC ACADEMY
STREET_NUMBER
2760
STREET_NAME
PENROSE
STREET_TYPE
LN
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
2760 PENROSE LN
P_LOCATION
07
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0052493 adlopez@bantasd.org;jaanderson@bantasd.org
EmailSent
8/16/2022 11:14:31 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547902
Tags
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 1632 EXEMPT FOOD <br /> Permit ID# PT0028809 for Record ID # PR0547902 <br /> Valid From 8/8/2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BANTA UNIFIED SCHOOL DISTRICT <br /> DBA: EPIC ACADEMY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: EPIC ACADEMY Facility ID FA0027308 <br /> 2760 PENROSE LN Account ID AR0052493 <br /> LATHROP, CA 95330 Issued 8/16/2022 <br /> Billing Address: ATTN : ANDERSON, JAMIE <br /> EPIC ACADEMY <br /> 22375 EL RANCHO RD <br /> TRACY, CA 95304 <br /> 7024.rpt End of report <br />
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