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Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547970
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Entry Properties
Last modified
2/28/2025 10:56:33 AM
Creation date
12/19/2022 1:42:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547970
PE
1633 - FOOD VEHICLE/CART (LTD FOOD PREP)
FACILITY_ID
FA0027349
FACILITY_NAME
KONA ICE OF NW STOCKTON #08865M3
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16904012
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1717 S UNION ST STOCKTON 95206
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Haze1ton Avenue - Stockton, CA 95205-6232 - Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) <br />Record ID # PRO547970 <br />VEHICLE LIC # 08865M3 <br />Valid From 1/1/2025 To 12/31/2025 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: PUA, BERNADETTE <br />DBA: KONA ICE OF NW STOCKTON #08865M3 <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: KONA ICE OF NW STOCKTON #08865M3 <br />1717 S UNION ST <br />STOCKTON, CA 95206 <br />Billing Address: Attn: PUA, BERNADETTE <br />10037 FAIRWEATHER DR <br />STOCKTON, CA 95219 <br />Facility ID: FA0027349 <br />Issued: 12/6/2024 <br />7016_SEP.rpt <br />End of Report
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