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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546997
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Entry Properties
Last modified
10/27/2022 3:29:37 PM
Creation date
5/10/2022 12:44:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546997
PE
1635
FACILITY_ID
FA0026631
FACILITY_NAME
OLIVE'S #4SZ2635
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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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 MFPU)#S227362 <br /> Permit ID #PT0028132 for Record ID #PR0546997 <br /> VEHICLE LIC #4SZ2635 <br /> Valid From 1/1/2022 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: SYSAY,SOUBANH JOHN <br /> DBA: OLIVE'S <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: OLIVE'S #4SZ2635 Facility ID FA0026631 <br /> 620 S SACRAMENTO ST Account ID AR0050730 <br /> LODI, CA 95240 issued 2/9/2022 <br /> BillingAddrew: ATTN : SYSAY, SOUBANH JOHN <br /> OLIVE'S#4SZ2635 <br /> 2934 MONTICELLO DR <br /> STOCKTON, CA 95209 <br /> 7016.rpt End of Report <br />
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