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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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23955
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1600 - Food Program
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PR0162379
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BILLING_2023
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Entry Properties
Last modified
11/19/2024 1:50:50 PM
Creation date
6/2/2023 2:21:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0162379
PE
1625
FACILITY_ID
FA0000003
FACILITY_NAME
LODI AIRPORT CAFE
STREET_NUMBER
23955
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00517007
CURRENT_STATUS
01
SITE_LOCATION
23955 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000003 rkupka@lodiairport.com;
EmailSent
6/2/2023 2:22:53 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0162379
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 1625 RESTAURANT/BAR 51-100 SEATS <br /> Permit ID# PT0000004 for Record ID # PR0162379 <br /> Valid From 7/1/2023 To 6/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: KUPKA, ROBERT <br /> DBA: LODI AIRPORT <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI AIRPORT CAFE Facility ID FA0000003 <br /> 23955 N HWY 99 Account ID AR0000003 <br /> ACAMPO, CA 95220 Issued 6/2/2023 <br /> BillingAddress7 ATTN : ROBERT KUPKA <br /> LODI AIRPORT CAFE <br /> PO BOX 10 <br /> ACAMPO, CA 95220 <br /> 7024.rpt End of report <br />
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