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Environmental Health - Public
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EHD Program Facility Records by Street Name
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KELLEY
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7920
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1600 - Food Program
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PR0524437
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Entry Properties
Last modified
6/19/2020 1:28:21 PM
Creation date
6/19/2020 1:27:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0524437
PE
1620
FACILITY_ID
FA0007921
FACILITY_NAME
IN SHAPE CITY - STOCKTON
STREET_NUMBER
7920
STREET_NAME
KELLEY
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
08222018
CURRENT_STATUS
02
SITE_LOCATION
7920 KELLEY DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN LINTY ENVIRONMENTAL HEALTE YARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone (209)468-3420 <br /> Donna Heran, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1620 RETAIL MKT<25 SQ FT (INCIDENTAL FOODS) <br /> Permit ID# PT0016657 for Record ID#PR0524437 <br /> Valid From 9/1/2010 To 8/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ROTHBARD, DR MORT <br /> DBA: WEST LANE RACQUET OUTDOOR SPA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: IN SHAPE CITY -STOCKTON Facility ID FA0007921 <br /> 7920 KELLEY DR Account ID AR0014590 <br /> STOCKTON, CA 95219 Issued 7/28/2010 <br /> Billing Address: ATTN : ACCOUNTS PAYABLE <br /> IN SHAPE CITY-STOCKTON <br /> 1016 E BIANCHI RD STE A-1 <br /> STOCKTON, CA 95210 <br /> 7o2a.rpt <br />
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