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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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530
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1600 - Food Program
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PR0546067
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BILLING_2021
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Entry Properties
Last modified
8/23/2021 2:33:46 PM
Creation date
8/23/2021 2:24:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0546067
PE
1613
FACILITY_ID
FA0026051
FACILITY_NAME
DUTCH BROS COFFEE
STREET_NUMBER
530
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
530 S CHEROKEE LN
P_LOCATION
02
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0049356 kyleg@dutchbros.com;hailey@dutchbros.com
EmailSent
8/23/2021 2:33:46 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0546067
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 1613 - FOOD EST 501-1000 SQ FT W/O SEATING <br />Permit ID # PT0027569 for Record ID # PR0546067 <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 />GARRETT, KYLE <br />GARRETT, INNOVATIONS <br />Regulated Facility: <br />530 S CHEROKEE LN <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0026051 <br />AR0049356 <br />8/23/2021 <br />DUTCH BROS COFFEE <br />GARRETT, KYLEATTN : Billing Address: <br />DUTCH BROS COFFEE <br />12884 SIMPSON RANCH CT <br />WILTON, CA 95693 <br />End of reportcombined.rpt
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