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EHD Program Facility Records by Street Name
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DOWNTOWN MALL
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1600 - Food Program
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PR0543864
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Entry Properties
Last modified
2/14/2019 3:54:51 PM
Creation date
2/14/2019 2:35:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0543864
PE
1625
FACILITY_ID
FA0024942
FACILITY_NAME
TEA - TASTING
STREET_NUMBER
40
STREET_NAME
DOWNTOWN MALL
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
40 DOWNTOWN MALL
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
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 /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1625 RESTAURANT/BAR 51-100 SEATS <br /> Permit ID#PT0026341 for Record ID# PR0543864 <br /> Valid From 10/25/2018 To 10/31/2019 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SHI, BINGYU <br /> DBA: PHOENIX TEA AND WINE INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TEA-TASTING Facility ID FA0024942 <br /> 40 DOWNTOWN MALL Account io AR0046793 <br /> LODI, CA 95240 issued 10/26/2018 <br /> Billing Address: ATTN : SHI, BINGYU <br /> TEA-TASTING <br /> 5546 VINTAGE CIR <br /> STOCKTON, CA 95219 <br /> 7024.rpt <br />
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