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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SACRAMENTO
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125
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1600 - Food Program
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PR0160056
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Entry Properties
Last modified
8/9/2023 3:14:52 PM
Creation date
8/9/2023 3:14:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0160056
PE
1625
FACILITY_ID
FA0000339
FACILITY_NAME
MAZATLAN CAFE
STREET_NUMBER
125
Direction
N
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04302605
CURRENT_STATUS
01
SITE_LOCATION
125 N 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 1625 RESTAURANT/BAR 51-100 SEATS <br />Permit ID # PT0000346 for Record ID # PR0160056 <br />Valid From 5/26/2023 To 5/31/2024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: CEJA-LUPIAN, JUAN <br />DBA: MAZATLAN CAFE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MAZATLAN CAFE <br />Facility ID FA0000339 <br />125 N SACRAMENTO ST <br />Account ID AR0000338 <br />LODI, CA 95240 <br /> Issued 611I2023 <br />Billing Address: <br />7024.rpt <br />ATTN : CEJA-LUPIAN, JUAN <br />MAZATLAN CAFE <br />125 N SACRAMENTO ST <br />LODI, CA 95240 <br />End of report
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