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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541566
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Entry Properties
Last modified
3/17/2022 2:09:10 PM
Creation date
3/17/2022 2:08:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0541566
PE
1635
FACILITY_ID
FA0024704
FACILITY_NAME
LAS PERLAS #19503W1 & #5B16106
STREET_NUMBER
1301
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04529028
CURRENT_STATUS
01
SITE_LOCATION
1301 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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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 1635 - MOBILE FOOD PREPARATION UNIT "?U) # S227132 <br />Permit ID # PT0025491 for Record ID # PR0541566 <br />VEHICLE LIC # 5B16106 <br />Valid From 12/2/2021 To 12/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause <br />PERMIT(s) Valid only for: COBIAN MORALES, MANRIQUE G <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LAS PERLAS #19503W7 � Facility ID FA0024704 <br />1301 S SACRAMENTO ST AccOUnt ID AR0046235 <br />LODI, CA 95240 Issued 12/16/2021 <br />Billing Address: ATTN : COBIAN MORALES, MANRIQUE G <br />LAS PERLAS #19503W1 & #5816106 <br />517 MOCKINGBIRD DR <br />LODI, CA 95240 <br />7016.mt <br />End of Report <br />
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