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BILLING_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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969
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1600 - Food Program
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PR0548136
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BILLING_2022
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Entry Properties
Last modified
1/13/2023 3:49:24 PM
Creation date
12/16/2022 2:14:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0548136
PE
1623
FACILITY_ID
FA0027472
FACILITY_NAME
LA MICHOACANA PLUS
STREET_NUMBER
969
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
969 WATERLOO RD STE 2
P_LOCATION
01
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0052961 lamichoacanaplusmodesto@gmail.com;dilv_707@icloud.com
EmailSent
1/13/2023 3:48:28 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0548136
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 1623 RESTAURANT/BAR 1-20 SEATS <br /> Permit ID# PT0028997 for Record ID # PR0548136 <br /> Valid From 12/12/2022 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: VERDUZCO MUNGUTA, DILSIA <br /> DBA: VERDUZCO DJ INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA MICHOACANA PLUS Facility ID FA0027472 <br /> 969 WATERLOO RD#2 Account ID AR0052961 <br /> STOCKTON, CA 95205 Issued 12/16/2022 <br /> Billing Address: ATTN : VERDUZCO MUNGUTA, DILSIA <br /> LA MICHOACANA PLUS <br /> 969 WATERLOO RD STE 2 <br /> STOCKTON, CA 95205 <br /> 7024.rpt End of report <br />
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