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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MICKE GROVE
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11793
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1600 - Food Program
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PR0522439
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COMPLIANCE INFO
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Entry Properties
Last modified
6/28/2026 12:47:39 PM
Creation date
6/28/2026 12:45:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522439
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0015268
FACILITY_NAME
DELTA ELITES EASTER RUN
STREET_NUMBER
11793
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05910002
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
11793 MICKE GROVE RD LODI 95240
Tags
EHD - Public
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Environmental Health Department <br />TEMPORARY EVENT FOOD VENDOR LIST <br />FV#NAME OF BOOTH PHONE# <br />1868 E. Hazelton Avenue I 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 />07/3/17 <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 />CONTACT PERSON <br />SANJOAOUIN <br />COUNTY—— <br />Greatness grows here.
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