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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PARK
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521
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1600 - Food Program
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PR2500522
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Entry Properties
Last modified
11/19/2025 7:55:12 AM
Creation date
11/19/2025 7:54:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR2500522
PE
1633 - FOOD VEHICLE/CART (LTD FOOD PREP)
FACILITY_ID
FA0004337
FACILITY_NAME
RAE COFFEE COMPANY
STREET_NUMBER
521
STREET_NAME
PARK
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
521 PARK ST LODI 95240
Tags
EHD - Public
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ENVIRONMENTAL HEALTH <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Facility ID: FA0004337 <br />Issued: 07/22/2025 <br />End of Report7024 <br />PERMIT TO OPERATE - 1633 - FOOD VEH1CLE/CART (LTD FOOD PREP) <br />Record ID # PR2500522 <br />Valid From 07/09/2025 To 12/31/2025 <br />Billing Address: ATTN: TYLER NORGARRD <br />521 PARK ST <br />LODI, CA 95240 <br />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 />Regulated Facility: RAE COFFEE COMPANY <br />521 PARK ST <br />LODI, CA 95240 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: TYLER NORGARRD <br />DBA: RAE COFFEE COMPANY
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