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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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4580
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1600 - Food Program
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PR0542986
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
6/14/2026 12:16:47 PM
Creation date
6/14/2026 12:15:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0542986
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0024593
FACILITY_NAME
CINCO DE VINO
STREET_NUMBER
4580
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
4580 W STATE ROUTE 12 LODI 95242
Tags
EHD - Public
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Environmental Health Department <br />ere. <br />TEMPORARY EVENT FOOD VENDOR LIST <br />CONTACT PERSONNAME OF BOOTH PHONE # <br />infiilknir <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 11 of 11 ' TEMP EVENT APP <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 person before and on day of event <br />FV# <br />SAN JOAQUIN <br />-----COUNTY <br />Greatness grows
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