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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LAKEWOOD MALL
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135
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1600 - Food Program
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PR0167504
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BILLING_2021
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Entry Properties
Last modified
7/14/2021 2:54:05 PM
Creation date
7/14/2021 1:41:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0167504
PE
1623
FACILITY_ID
FA0000450
FACILITY_NAME
BASKIN ROBBINS #181
STREET_NUMBER
135
STREET_NAME
LAKEWOOD MALL
City
LODI
Zip
95242
APN
03534009
CURRENT_STATUS
01
SITE_LOCATION
135 LAKEWOOD MALL
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000449 tamsouza@sbcglobal.net;
EmailSent
7/14/2021 2:54:02 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0167504
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 1623 - RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0000457 for Record ID # PR0167504 <br />Valid From 7/1/2021 To 6/30/2022 <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 />SOUZA, TAMMY & RODNEY <br />BASKIN ROBBINS <br />Regulated Facility: <br />135 LAKEWOOD MALL <br />LODI, CA 95242 <br />Facility ID <br />Account ID <br />Issued <br />FA0000450 <br />AR0000449 <br />7/14/2021 <br />BASKIN ROBBINS #181 <br />SOUZA, TAMMY & RODNEYATTN : Billing Address: <br />BASKIN ROBBINS #181 <br />135 LAKEWOOD MALL <br />LODI, CA 95242 <br />End of reportcombined.rpt
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