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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CENTURY
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1600 - Food Program
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PR0547289
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Entry Properties
Last modified
2/2/2022 1:09:39 PM
Creation date
11/30/2021 4:05:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547289
PE
1608
FACILITY_ID
FA0026859
FACILITY_NAME
POPAHOLIKS POPKORN
STREET_NUMBER
402
Direction
W
STREET_NAME
CENTURY
STREET_TYPE
BLVD
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
402 W CENTURY BLVD
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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a <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />Permit ID # PT0028341 for Record ID # PR0547289 <br />Valid From 11/1712021 To 1113012022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: COVELLO, NICOLE M <br />DBA: POPAHOLIKS POPKORN <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: POPAHOLIKS POPKORN Facility to FA0026859 <br />402 W CENTURY BLVD Account ID AR0051294 <br />LODI, CA 95240 Issued 11117/2021 <br />Billing Address: ATTN : COVELLO, NICOLE <br />POPAHOLIKS POPKORN <br />402 W CENTURY BLVD <br />LODI, CA 95240 <br />7024.rpt End of report <br />
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