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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SCHOOL
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1600 - Food Program
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PR0542284
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BILLING_2022
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Entry Properties
Last modified
1/13/2022 8:36:01 AM
Creation date
1/13/2022 8:30:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0542284
PE
1623
FACILITY_ID
FA0024278
FACILITY_NAME
HOMETOWN NUTRITION
STREET_NUMBER
22
Direction
S
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
22 S SCHOOL ST
P_LOCATION
02
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0045186 wellnesscoachtay@gmail.com;
EmailSent
1/13/2022 8:35:59 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0542284
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 1623 RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0025842 for Record ID # PR0542284 <br />Valid From 1/7/2022 To 1/31/2023 <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 />EVERITT, TAYLOR <br />HOMETOWN NUTRITION <br />Regulated Facility: <br />22 S SCHOOL ST <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0024278 <br />AR0045186 <br />1/11/2022 <br />HOMETOWN NUTRITION <br />EVERITT, TAYLORATTN : Billing Address: <br />HOMETOWN NUTRITION <br />11851 N LOWER SACRAMENTO RD <br />LODI, CA 95242 <br />End of report7024.rpt
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