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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LAKEWOOD MALL
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135
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1600 - Food Program
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PR0167504
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BILLING_2023
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Entry Properties
Last modified
9/21/2023 4:20:04 PM
Creation date
9/21/2023 4:14:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0167504
PE
1623
FACILITY_ID
FA0000450
FACILITY_NAME
BASKIN ROBBINS #181
STREET_NUMBER
135
STREET_NAME
LAKEWOOD MALL
City
LODI
Zip
95242
APN
03534009
CURRENT_STATUS
01
SITE_LOCATION
135 LAKEWOOD MALL
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000449 tamsouza@sbcglobal.net;
EmailSent
9/21/2023 4:20:01 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0167504
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# PT0000457 for Record ID# PR0167504 <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: SOUZA, TAMMY& RODNEY <br /> DBA: BASKIN ROBBINS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BASKIN ROBBINS #181 Facility ID FA0000450 <br /> 135 LAKEWOOD MALL Account ID AR0000449 <br /> LODI, CA 95242 Issued 9/21/2023 <br /> Billing Address: ATTN : SOUZA, TAMMY& RODNEY <br /> BASKIN ROBBINS #181 <br /> 135 LAKEWOOD MALL <br /> LODI, CA 95242 <br /> 7024.rpt End of report <br />
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