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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541394
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
4/30/2021 3:36:37 PM
Creation date
4/30/2021 3:31:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0541394
PE
1633
FACILITY_ID
FA0023719
FACILITY_NAME
INSPIRE COFFE & GIFTS
STREET_NUMBER
8
Direction
W
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
8 W PINE ST
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\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 />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S213517 <br />Permit ID # PT0025388 for Record ID # PR0541394 <br />VEHICLE LIC # CART <br />Valid From 1/1/2021 To 12/31/2021 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: COFFMAN, LAURIE & LANCE <br />DBA: INSPIRE COFFE & GIFTS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: INSPIRE COFFE & GIFTS Facility iD FA0023719 <br />Account ID AR0043890 <br />8WPINE ST <br />LODI, CA 95240 sued 4/23/2021 <br />Billing Address: ATTN : COFFMAN, LAURIE <br />INSPIRE COFFE & GIFTS <br />8 W PINE ST <br />LODI, CA 95240 <br />7016 rpt End of Report <br />
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