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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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REYNOLDS RANCH
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2680
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1600 - Food Program
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PR0545402
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Entry Properties
Last modified
4/15/2020 1:36:07 PM
Creation date
4/15/2020 1:33:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0545402
PE
1615
FACILITY_ID
FA0025787
FACILITY_NAME
CANTEEN @COSTCO #1091 BREAKROOM
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
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 - 1615 RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Permit ID# PT0027363 for Record ID# PR0545402 <br /> Valid From 2/13/2020 To 2/28/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CANTEEN @ COSTCO#1091 BREAKROOM <br /> DBA: CANTEEN @ COSTCO#1091 BREAKROOM <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CANTEEN @COSTCO#1091 BREAKROOM Facility ID FA0025787 <br /> 2680 REYNOLDS RANCH PKWY Account ID AR0048788 <br /> LODI, CA 95240 Issued 2/20/2020 <br /> BiilingAddress: ATTN : LICENSING <br /> CANTEEN @COSTCO#1091 BREAKROOM <br /> 2400 YORKMONT <br /> CHARLOTTE, NC 28217 <br /> 7o2a.rpt <br />
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