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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 />PHONE #FV# <br />LocA oX -W. <br />(\n H <br />SAN JOAQUIN <br />-----COUNTY- <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 <br />NAME OF BOOTH <br />a <br />person before and on day of event <br />CONTACT PERSON <br />Ujnn <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehdxom <br />EHD 16-02 Page 11 of 11 <br />(gM) Uq-z-gHO <br />Zt>q 7lg- isZSi <br />zoi-no i -H-qe.g <br />(zoq) Id
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