My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
L
>
LODI
>
416
>
1600 - Food Program
>
PR0160081
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/29/2020 2:02:44 PM
Creation date
2/27/2019 2:37:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160081
PE
1624
FACILITY_ID
FA0001042
FACILITY_NAME
VILLAGE COFFEE SHOP INC
STREET_NUMBER
416
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04502047
CURRENT_STATUS
01
SITE_LOCATION
416 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
9
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SAI"JoAQvm CY vmi,Y ENvistt]mmvi11TAL FkALTH Dt P%k 1111 %t <br /> :SERVICE REQUEST <br /> T"w of Busairmu or Flagfty FACILITY D/ - SERVICE REO"t <br /> ril <br /> LA, 14-04 1 »gid <br /> Facxer,NAM [)j L4- R 6& Cbq� OC4?W S6 G�� A)'(-. <br /> OIN �/y� <br /> SolI ALSS �. f ��r'i� ► •Q 6 <br /> wre or Mum Aamm Ir Dwsdkd�i tra.w am Asbury <br /> sR.a T� i trwd grr"r - <br /> GTr STATE tP <br /> P>tc>we fil r• APN a Lam Utw Ap"irAmm a <br /> 1 P <br /> iar,r R Q'r ttOtDltlrrle� t txrml"Cnels <br /> t P <br /> CONT'RACTUR/SERVICE REQUES'TOR <br /> ttcouEat tit" 5 pq,,e coe- K. -�. 'IL)&lfituA } <br /> "am at Mm"m - Full <br /> l:rrr MATE Ztr ---- <br /> BILLINt; 1C'k-%QN%LEMEMEr7 1, the uedas*mA Ftrt m93 or remoras snorer.operster or aiatlrorb"a6ewtt of swat. <br /> .!16,1111%b 111.r. Ilwl all .4� :tail Of It1,1vtt .Irc,rli, l N%kWINNIAftAL IWAJ,III 11trumaNr hmrh amwi r a►immacd wish dull pirojAxt <br /> rT actnav will be hdk-d tet o Ir"my Msiress as aicntirped on thts(warm <br /> 1 alae c+etttW thio I lutc i,frlvred this aWr.atliaa a at the A Ldit b be perfonatod will be dme In amonhrrcc inth all SAN lila MtA <br /> C III&Mitt(AQUwm e('.rde.1,JiuftA-mrt4.S I A Ir a 11 1' K k l <br /> 116 <br /> ftnrmfY rmww—%e ttzw a�rrm o Mk%ke.r■ Ihl""a♦4,1=11 rrlrn Ad atri,0 <br /> If I-'1'r.•-1% L1 llrtl rrh Nlli:\;.f,tC 1).prfi f of de"Ommilia/"to Wn a"aired rlfir <br /> 0'111)$I!11101% 1 t 1 Rt.Lt.1`t. I M OR M%111,5: YVlta n y+plra alrk. I.tlwe nw rt+r on opertWrr Ilf tbM►pnptrRv k.cao<d aI IlK <br /> rbave silt audit;;, hcnby aus whre the rcleaire of any and all "twits. gcce"linw-W Bala wd'cu ruvwrt amlial cdte aw75wwrit <br /> tafl*MWItl.Pa to Ills '+,14 J(W4j4l1N 1'1.1L ii Y 1 h1'IkrllvtAtAtlAt WALm Dtt'AKimumr at"axm rs it it evallab4c WYI at the Mm[YG Iiia it kt" <br /> pmvtdM so,me or any rtytal,amtaA,rc <br /> rTvw-cF sFwtmx lh=vuFsren. e•L7 }11 4't C"?2 L tin- V A L <br /> A.-.ba"l"e• S, <br /> p h/�w�0 �J �p Crit.mra C Dan (4 - <br /> A..--%Ksst)to l) T`�prLar�tiieV` t(/Z Cinoytta DAT[ <br /> oala tloanliclr ++ <br /> of aUeestt m-w.ra). —is, Car Sc,owl 2- <br /> Fee Amotrtr '� '1' 1 Apmxr1"t Pis 3 r '1'a}ntwt�rt Daft <br /> F'ar;n�t rpXrt YNtoM:.B santi <br /> 7/S/' / W.L <br /> 6RFctOMtoommRom <br /> A F��T <br /> �FP19za0 <br /> EV�7 QUAY <br /> NO <br /> Evr <br />
The URL can be used to link to this page
Your browser does not support the video tag.