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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SCHOOL
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217
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1600 - Food Program
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PR0547156
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BILLING_2021
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Entry Properties
Last modified
9/3/2021 3:23:07 PM
Creation date
9/3/2021 3:21:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0547156
PE
1624
FACILITY_ID
FA0026755
FACILITY_NAME
TRAIL COFFEE ROASTERS
STREET_NUMBER
217
Direction
N
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
217 N SCHOOL ST STE #1
P_LOCATION
02
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0051011 nik@trail.coffeeroasters.com;nik19howard78@gmail.com
EmailSent
9/3/2021 3:23:07 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0547156
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 # PT0028237 for Record ID # PR0547156 <br />Valid From 8/25/2021 To 8/31/2022 <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 />HOWARD, NIKOLAS <br />TRAIL COFFEE ROASTERS <br />Regulated Facility: <br />217 N SCHOOL ST #1 <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0026755 <br />AR0051011 <br />9/3/2021 <br />TRAIL COFFEE ROASTERS <br />HOWARD, NIKOLASATTN : Billing Address: <br />TRAIL COFFEE ROASTERS <br />555 RIVERSIDE DR <br />WOODBRIDGE, CA 95258 <br />End of report7024.rpt
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