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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LAKEWOOD MALL
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1306
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1600 - Food Program
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PR0539566
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Entry Properties
Last modified
1/25/2023 8:58:27 AM
Creation date
6/19/2020 10:58:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0539566
PE
1613
FACILITY_ID
FA0022640
FACILITY_NAME
DELICIOUS BOARDS LLC
STREET_NUMBER
1306
STREET_NAME
LAKEWOOD MALL
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1306 LAKEWOOD MALL
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SAN JOAQUIN vUNTY ENVIRONMENTAL HEALTL—LPARTMENT <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 - 1613 -FOOD EST 501-1000 SQ FT W/O SEATING <br /> Permit ID# PT0024345 for Record ID# PR0539566 <br /> Valid From 10/27/2014 To 10/31/2015 <br /> i <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HANEKE,JANICE M & BYRON K <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JANS SWEET TREASURES Facility to FA0022640Account ID AR0041.441 <br /> 1306 LAKEWOOD MALL <br /> LODI CA 95242 Issued 10/29/2014 <br /> Billing Address: ATTN : HANEKE, JANICE M & BYRON K <br /> JANS SWEET TREASURES <br /> 1689 E ARMSTRONG RD <br /> LODI CA 95242 <br />
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