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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SCHOOL
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1600 - Food Program
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PR0542284
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BILLING_2023
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Entry Properties
Last modified
3/6/2023 4:20:35 PM
Creation date
3/6/2023 4:06:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
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
3/6/2023 4:20:33 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0542284
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 1623 RESTAURANT/BAR 1-20 SEATS <br /> Permit ID# PT0025842 for Record ID# PR0542284 <br /> Valid From 2/1/2023 To 1/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: EVERITT, TAYLOR <br /> DBA: HOMETOWN NUTRITION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: HOMETOWN NUTRITION Facility ID FA0024278 <br /> 22 S SCHOOL ST Account ID AR0045186 <br /> LODI, CA 95240 Issued 3/6/2023 <br /> Billing Address: ATTN : EVERITT, TAYLOR <br /> HOMETOWN NUTRITION <br /> 11851 N LOWER SACRAMENTO RD <br /> LODI, CA 95242 <br /> 7024.rpt End of report <br />
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