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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0516741
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Entry Properties
Last modified
4/26/2023 9:46:38 AM
Creation date
4/26/2023 9:46:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0516741
PE
1635
FACILITY_ID
FA0012767
FACILITY_NAME
LA MICHOACANA #2 (#8U61581)
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
Scanner
SJGOV\ymoreno
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton 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) # S239094 <br />Permit ID # PT0011476 for Record ID # PR0516741 <br />VEHICLE LIC # 8U61581 <br />Valid From 11/18/2022 To 12/31/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />-, <br />PERMIT(s) Valid only for: TREJO, ARTURO / MARTINEZ, KARLA <br />DBA: LA MICHOACANA #2 <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LA MICHOACANA #2 (#8U61581) <br />620 S SACRAMENTO ST <br />LODI, CA 95240 <br />Facility ID FA0012767 <br />Account ID AR0021343 <br />Issued 11/18/2022 <br />Billing Address: <br />7016.rpt <br />ATTN : TREJO, ARTURO / MARTINEZ, KARLA <br />LA MICHOACANA #2 (#8U61581) <br />PO BOX 1125 <br />LOCKEFORD, CA 95237 <br />End of Report
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