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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1012
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1600 - Food Program
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PR0508386
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BILLING_2021
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Entry Properties
Last modified
9/14/2021 1:44:55 PM
Creation date
9/14/2021 1:27:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0508386
PE
1624
FACILITY_ID
FA0008051
FACILITY_NAME
LOCO POKE
STREET_NUMBER
1012
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03311034
CURRENT_STATUS
01
SITE_LOCATION
1012 LODI AVE STE 1
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0015172 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0508386
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 # PT0009677 for Record ID # PR0508386 <br />Valid From 11/1/2021 To 10/31/2022 <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 />MORELAND, LESLIE <br />LOCO POKE <br />Regulated Facility: <br />1012 LODI AVE #1 <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0008051 <br />AR0015172 <br />9/14/2021 <br />LOCO POKE <br />MORELAND, MICHAEL & LESLIEATTN : Billing Address: <br />LOCO POKE <br />2316 OLSON DR <br />LODI, CA 95242 <br />End of reportcombined.rpt
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