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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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307
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1600 - Food Program
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PR0526005
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BILLING_2021
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Entry Properties
Last modified
9/14/2021 12:30:47 PM
Creation date
9/14/2021 12:06:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0526005
PE
1625
FACILITY_ID
FA0017603
FACILITY_NAME
KOMACHI SUSHI
STREET_NUMBER
307
Direction
S
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02740005
CURRENT_STATUS
01
SITE_LOCATION
307 S LOWER SACRAMENTO RD STE D
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Supplemental fields
EmailAddr
AR0030567 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0526005
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 1625 - RESTAURANT/BAR 51-100 SEATS <br />Permit ID # PT0018114 for Record ID # PR0526005 <br />Valid From 9/1/2021 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 />KOMACHI SUSHI INC. <br />KOMACHI SUSHI <br />Regulated Facility: <br />307 S LOWER SACRAMENTO RD #D <br />LODI, CA 95242 <br />Facility ID <br />Account ID <br />Issued <br />FA0017603 <br />AR0030567 <br />9/14/2021 <br />KOMACHI SUSHI <br />HEE S CHONGATTN : Billing Address: <br />KOMACHI SUSHI <br />307 S LOWER SACRAMENTO RD STE D <br />LODI, CA 95242 <br />End of reportcombined.rpt
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