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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DE VRIES
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12145
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1600 - Food Program
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PR0526555
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COMPLIANCE INFO
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Entry Properties
Last modified
7/12/2026 10:56:27 AM
Creation date
7/12/2026 10:49:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526555
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0017972
FACILITY_NAME
KINGDON DRAGS
STREET_NUMBER
12145
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05518005
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
Site Address
12145 N DE VRIES RD LODI 95242
Tags
EHD - Public
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Environmental Health Department <br />TEMPORARY EVENT FOOD VENDOR LIST <br />NAME OF BOOTH PHONE # <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 <br />FV# <br />person before and on day of event <br />CONTACT PERSON <br />H <br />5 <br />SAN JOAQUIN <br />-----COUNTY----- <br />Greatness grows here <br />i —xW1'—. <br />■. f ry- . rd 1 <br />LjL VtcL-S (CZtr4M» <br />^-5/90 <br />3^3-36^7 <br />ff/cJ "17q-7^rs"' <br />(Sib) ^5- <br />zufQ Vb / - ^73y.
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