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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547978
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Entry Properties
Last modified
10/19/2023 4:19:37 PM
Creation date
10/19/2023 4:19:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547978
PE
1633
FACILITY_ID
FA0027358
FACILITY_NAME
ISLAND FRESH SEAFOOD #4UV5235
STREET_NUMBER
1301
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04529028
CURRENT_STATUS
01
SITE_LOCATION
1301 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. flazelton 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 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S239692 <br />Permit ID # PT0028872 for Record ID # PR0547978 <br />VEHICLE LIC # 4UV5235 <br />Valid From 1/1/2023 To 12/31/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: HANEY, JEROLD <br />DBA: ISLAND FRESH SEAFOOD <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />Billing Address: <br />7016.rpt <br />ISLAND FRESH SEAFOOD #4UV5235 <br />1301 S SACRAMENTO ST <br />LODI, CA 95240 <br />ATTN : HANEY, JEROLD <br />ISLAND FRESH SEAFOOD #4UV5235 <br />10331 PEDRA DO SOL WAY <br />ELK GROVE, CA 95757 <br />Facility ID FA0027358 <br />Account ID AR0052696 <br />Issued 7/26/2023 <br />End of Report
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