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BILLING_BILLING 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160119
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BILLING_BILLING 2020
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Entry Properties
Last modified
4/10/2020 10:47:44 AM
Creation date
4/10/2020 10:46:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
BILLING 2020
RECORD_ID
PR0160119
PE
1626
FACILITY_ID
FA0000569
FACILITY_NAME
LUU'S CHICKEN BOWL #4
STREET_NUMBER
920
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004007
CURRENT_STATUS
01
SITE_LOCATION
920 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQULN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • 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# PT0000574 for Record ID# PR0160119 <br /> Valid From 4/1/2013 To 3/31/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ORTIZ, CARLOS <br /> DBA: ADALBERTACOS MEXICAN FOOD <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ADALBERTACOS MEXICAN FOOD Facility ID FA0000569 <br /> 920 W KETTLEMAN LN Account ID AR0000568 <br /> LODI, CA 95240 Issued 3/7/2013 <br /> Billing Address: ATTN : CARLOS ORTIZ <br /> ADALBERTACOS MEXICAN FOOD <br /> 920 W KETTLEMAN LN <br /> LODI, CA 95240 <br />
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