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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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4580
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1600 - Food Program
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PR0160023
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Entry Properties
Last modified
11/19/2024 3:47:04 PM
Creation date
1/7/2020 3:33:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0160023
PE
1625
FACILITY_ID
FA0001099
FACILITY_NAME
PHILLIPS FARMS
STREET_NUMBER
4580
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
05516050
CURRENT_STATUS
01
SITE_LOCATION
4580 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. 9 Stockton, CA 95205-6232 • Phone (209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1625 RESTAURANT/BAR 51-100 SEATS <br /> Permit ID# PT0001100 for Record ID# PR0160023 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PHILLIPS, DONALD <br /> DBA: PHILLIPS FARMS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: PHILLIPS FARMS Facility ID FA0001099 <br /> 4580 W HWY 12 Account ID AR0001097 <br /> LODI, CA 95240 Issued 6/4/2013 <br /> Billing Address: <br /> PHILLIPS FARMS <br /> 4580 W HWY 12 <br /> LODI, CA 95240 <br />
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