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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547184
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Entry Properties
Last modified
4/5/2022 4:06:37 PM
Creation date
4/5/2022 4:02:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547184
PE
1633
FACILITY_ID
FA0026775
FACILITY_NAME
RASPADOS MAMALONES #4SW4408
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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I <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 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S227448 <br />Permit ID # PT0028259 for Record ED # PR0547184 <br />VEHICLE LIC # 4SW4408 <br />Valid From 2/11/2022 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: FRIAS LOPEZ, LUIS <br />DBA: RASPADOS MAMALONES <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: RASPADOS MAMALONES #4SW4408 Facility ID FA0026775 <br />620 S SACRAMENTO ST <br />Account ID AR0051038 <br />LODI, CA 95240 issued 2/18/2022 <br />Billing Address: ATTN : FRIAS LOPEZ, LUIS <br />RASPADOS MAMALONES #4SW4408 <br />1701 EMINER AVE <br />STOCKTON, CA 95205 <br />7016.rpt Ent .t Report <br />
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