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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544401
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Entry Properties
Last modified
11/23/2021 4:13:28 PM
Creation date
6/6/2019 2:38:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544401
PE
1608
FACILITY_ID
FA0025243
FACILITY_NAME
VINTAGE ROAST COFFEE
STREET_NUMBER
1125
Direction
S
STREET_NAME
LEE
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
1125 S LEE AVE
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\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 - 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID# PT0026899 for Record ID#PR0544401 <br /> Valid From 4/30/2019 To 4/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BLANKENSHIP, SAMANTHA <br /> DBA: VINTAGE ROAST COFFEE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: VINTAGE ROAST COFFEE Facility ID FA0025243 <br /> 1125 S LEE AVE Account ID AR0047493 <br /> LODI, CA 95240 issued 4/30/2019 <br /> Billing Address: ATTN : BLANKENSHIP, SAMANTHA <br /> VINTAGE ROAST COFFEE <br /> 1125 S LEE AVE <br /> LODI, CA 95240 <br /> 7024.rpt <br />
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