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BILLING_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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14900
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1600 - Food Program
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PR0160323
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BILLING_2021
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Entry Properties
Last modified
11/19/2024 3:45:54 PM
Creation date
10/8/2021 1:42:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0160323
PE
1615
FACILITY_ID
FA0000527
FACILITY_NAME
Yogi Bear's Jellystone Park
STREET_NUMBER
14900
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242-9514
APN
055-030-15
CURRENT_STATUS
01
SITE_LOCATION
14900 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0007863 kdegoede@towerparkresort.com;
EmailSent
10/8/2021 2:13:51 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160323
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 1615 - RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Permit ID # PT0000533 for Record ID # PR0160323 <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 />STOCKTON DELTA RESORT LLC <br />YOGI BEAR'S JELLYSTONE PARK CAMP <br />Regulated Facility: <br />14900 W HWY 12 <br />LODI, CA 95242-9514 <br />Facility ID <br />Account ID <br />Issued <br />FA0000527 <br />AR0007863 <br />10/8/2021 <br />YOGI BEAR'S JELLYSTONE PARK <br />KATHY DEGOEDEATTN : Billing Address: <br />YOGI BEAR'S JELLYSTONE PARK <br />14900 W HIGHWAY 12 <br />LODI, CA 95242 <br />End of reportcombined.rpt
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