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EHD Program Facility Records by Street Name
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DOWNTOWN MALL
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1600 - Food Program
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PR0546898
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Entry Properties
Last modified
6/3/2021 1:54:05 PM
Creation date
6/3/2021 1:47:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546898
PE
1623
FACILITY_ID
FA0026575
FACILITY_NAME
ELLIS CREAMERY LLC
STREET_NUMBER
40
STREET_NAME
DOWNTOWN MALL
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
40 DOWNTOWN MALL
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 a Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERIVHT TO OPERATE - PE 1623 RESTAURANT/BAR 1-20 SEATS <br /> Permit ID#PT0028078 for Record ID# PR0546898 <br /> Valid From 5/13/2021 To 5/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: TICSAY, MARIO <br /> DBA ELLIS CREAMERY LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES - <br /> Regulated Facility: ELLIS CREAMERY LLC Facility ID FA0026575 <br /> 40 DOWNTOWN MALL Account ID AR0050594 <br /> LODI, CA 95240 issued 5/14/2021 <br /> Billing Address: ATTN : TICSAY, MARIO <br /> ELLIS CREAMERY LLC <br /> 1115 REDINGTON CT <br /> TRACY, CA 95377 <br /> 7024.rpt End of report <br />
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