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BILLING_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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2448
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1600 - Food Program
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PR0160253
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BILLING_2023
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Entry Properties
Last modified
8/31/2023 3:36:30 PM
Creation date
8/31/2023 3:18:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0160253
PE
1615
FACILITY_ID
FA0000505
FACILITY_NAME
SPEEDWAY #4612
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
01
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0004352 rvijjeswarapu@speedway.com;kkduncan@speedway.com
EmailSent
8/31/2023 3:36:28 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160253
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 1615 RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Permit ID # PT0000511 for Record ID# PR0160253 <br /> Valid From 10/1/2023 To 9/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: WESTERN REFINING RETAIL LLC <br /> DBA: SPEEDWAY#4873 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SPEEDWAY#4612 Facility ID FA0000505 <br /> 2448 W KETTLEMAN LN Account ID AR0004352 <br /> LODI, CA 95240 Issued 8/31/2023 <br /> Billing Address: ATTN : WESTERN REFINING RETAIL LLC <br /> SPEEDWAY#4612 <br /> 19100 RIDGEWOOD PKWY <br /> SAN ANTONIO, TX 78259 <br /> 7024.rpt End of report <br />
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