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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PEARSON
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11335
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1600 - Food Program
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PR0521340
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
1/28/2026 8:28:23 AM
Creation date
1/22/2026 8:37:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0521340
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0012744
FACILITY_NAME
CAMBODIAN HOLIDAY
STREET_NUMBER
11335
STREET_NAME
PEARSON
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05917014
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
11335 PEARSON RD LODI 95240
Tags
EHD - Public
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SANidDAQUIN Environmental Health Department <br /> �. COUN v <br /> .LT.•c <br /> TEMPORARY EVENT FOOD VENDOR LIST <br /> FV#- Corresponding number for Food Booth on site plan <br /> NAME OF BOOTH-Food vending business <br /> CONTACT PERSON-Responsible person for booth <br /> PHONE #-Phone number of Contact erson before and on dal of event <br /> FV# NAME OF BOOTH CONTACT PERSON PHONE # <br /> 06 <br /> to <br /> 373-5 <br /> / ^ r <br /> \0 !; l <br /> rD <br /> \10/ <br /> n-. <br /> � i <br /> V " g id rs5r, VJQK o _fL To�7n�c�L -a <br /> f v <br /> L� 5Q �A 4 4-0�38 www.�jgov.arglehd <br /> 1 RFi E. Hazelton Avenue I Stockton, raf'sfornia 95205 I T 209 468-3420 '; F 209 6 I TGFjn rV;:N'APP <br />
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