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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1110
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1600 - Food Program
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PR0548297
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Entry Properties
Last modified
12/4/2025 2:45:44 PM
Creation date
7/11/2023 2:28:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548297
PE
1612 - FOOD EST <500 SQ FT W/O SEATING
FACILITY_ID
FA0027567
FACILITY_NAME
CULEBRA COFFEE LLC
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1110 W KETTLEMAN LN LODI 95240
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Avenue-Stockton,CA 95205-6232-Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE-1612-FOOD EST<500 SQ FT W/O SEATING <br /> Record ID#PRO548297 <br /> Valid From 07/14/2025 To 07/31/2026 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CULEBRA COFFEE LLC <br /> DBA: CULEBRA COFFEE LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CULEBRA COFFEE LLC Facility ID: FA0027567 <br /> 1110 W KETTLEMAN LN <br /> LODI, CA 95240 Issued: 08/11/2025 <br /> Billing Address: ATTN: ITZCOATL FRIAZ <br /> 9143 BLUE FOX WY <br /> STOCKTON. CA 95209 <br /> 7024 <br /> End of Report <br />
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