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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LODI
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100
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1600 - Food Program
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PR0160289
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BILLING_2022
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Entry Properties
Last modified
6/3/2022 1:05:27 PM
Creation date
6/3/2022 11:58:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0160289
PE
1615
FACILITY_ID
FA0000121
FACILITY_NAME
CVS Pharmacy #9261
STREET_NUMBER
100
Direction
W
STREET_NAME
LODI
STREET_TYPE
Ave
City
Lodi
Zip
95240
APN
04521002
CURRENT_STATUS
01
SITE_LOCATION
100 W Lodi Ave
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000120 NONPHARMACYPERMITS@CVSHEALTH.COM;
EmailSent
6/3/2022 1:05:25 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160289
Tags
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 1615 -RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Permit ID# PT0000131 for Record ID # PR0160289 <br /> Valid From 7/1/2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LONGS DRUG STORES CALIFORNIA, L.L.C. <br /> DBA: CVS/PHARMACY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CVS PHARMACY#9261 Facility ID FA0000121 <br /> 100 W LODI AVE Account ID AR0000120 <br /> LODI, CA 95240 Issued 6/3/2022 <br /> Billing Address: ATTN : CVS HEALTH,ATTN: ERIN CHILINSKI <br /> CVS PHARMACY#9261 <br /> ONE CVS DRIVE — MC 1160 <br /> WOONSOCKET, RI 02895 <br /> combined.rpt End of report <br />
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