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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546818
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Entry Properties
Last modified
4/27/2021 2:17:26 PM
Creation date
4/27/2021 2:15:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546818
PE
1632
FACILITY_ID
FA0026514
FACILITY_NAME
LODI BOYS & GIRLS CLUB
STREET_NUMBER
275
STREET_NAME
POPLAR
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
275 POPLAR ST
P_LOCATION
02
QC Status
Approved
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SJGOV\jcastaneda
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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 />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1632 EXEMPT FOOD <br />Permit ID # PT0028017 for Record ID # PR0546818 <br />Valid From 4/26/2021 To 6/3012021 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: LODI BOYS AND GIRLS CLUB INC <br />DBA: LODI BOYS & GIRLS CLUB <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility. LODI BOYS & GIRLS CLUB <br />275 POPLAR ST <br />LODI, CA 95240 <br />Billing Address: ATTN : <br />LODI BOYS & GIRLS CLUB <br />275 POPLAR ST <br />LODI, CA 95240 <br />Facility ID FA0026514 <br />Account ID AR0050478 <br />Issued 4126/2021 <br />7024.rpt End of report <br />
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