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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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PR0543615
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COMPLIANCE INFO
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Entry Properties
Last modified
7/5/2026 12:00:52 PM
Creation date
7/5/2026 11:59:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543615
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0024776
FACILITY_NAME
FAMILY DAY IN THE PARK
STREET_NUMBER
11793
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
11793 N MICKE GROVE RD LODI 95240
Tags
EHD - Public
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Environmental Health Department <br />TEMPORARY EVENT FOOD VENDOR LIST <br />PHONE#NAME OF BOOTH <br />I <br />/1 y o / - 3' fU/’lWC/zt/- I <br />!Cc± <br />S' 2- oCO- <br />SAN JOAQUIN <br />-----COUNTY- <br />Great ness qrows fie re. <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 <br />FV# <br />person before and on day of event <br />CONTACT PERSON <br />c F> v/ <br />/“ <br />A^* ■ Z c A <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 />S (x. O e ~F
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