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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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514
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1600 - Food Program
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PR0505591
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BILLING_2021
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Entry Properties
Last modified
9/3/2021 8:55:09 AM
Creation date
6/23/2021 9:02:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0505591
PE
1624
FACILITY_ID
FA0006884
FACILITY_NAME
MR PICKLES SANDWICH SHOP
STREET_NUMBER
514
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
06004013
CURRENT_STATUS
01
SITE_LOCATION
514 W KETTLEMAN LN STE B
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0009667 sarimyaun@gmail.com;onespml.llc@gmail.com
EmailSent
9/3/2021 8:54:59 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0505591
Tags
EHD - Public
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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1624 - RESTAURANT/BAR 21-50 SEATS <br />Permit ID # PT0008157 for Record ID # PR0505591 <br />Valid From 8/1/2021 To 7/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />MOHAN, JAY <br />MR PICKLES <br />Regulated Facility: <br />514 W KETTLEMAN LN #B <br />LODI, CA 95242 <br />Facility ID <br />Account ID <br />Issued <br />FA0006884 <br />AR0009667 <br />6/23/2021 <br />MR PICKLES <br />MOHAN, JAYATTN : Billing Address: <br />MR PICKLES <br />24 WATERSHORE CIR <br />SACRAMENTO, CA 95831 <br />End of reportcombined.rpt
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