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BILLING_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LAKEWOOD MALL
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239
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1600 - Food Program
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PR0160198
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BILLING_2023
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Entry Properties
Last modified
2/7/2023 12:17:34 PM
Creation date
2/7/2023 12:13:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2023
RECORD_ID
PR0160198
PE
1623
FACILITY_ID
FA0000776
FACILITY_NAME
HOUSE OF COFFEES
STREET_NUMBER
239
STREET_NAME
LAKEWOOD MALL
City
LODI
Zip
95242
APN
03534009
CURRENT_STATUS
01
SITE_LOCATION
239 LAKEWOOD MALL
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000775 hoc.lodi@gmail.com;
EmailSent
2/7/2023 12:17:30 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0160198
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1623 -RESTAURANT/BAR 1-20 SEATS <br /> Permit ID# PT0000779 for Record ID # PR0160198 <br /> Valid From 3/1/2023 To 2/28/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: OLIVER, SAMANTHA <br /> DBA: HOUSE OF COFFEES <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: HOUSE OF COFFEES Facility ID FA0000776 <br /> 239 LAKEWOOD MALL Account ID AR0000775 <br /> LODI, CA 95242 Issued 2/7/2023 <br /> Billing Address: ATTN : OLIVER, SAMANTHA <br /> HOUSE OF COFFEES <br /> 239 LAKEWOOD MALL <br /> LODI, CA 95242 <br /> combined.rpt End of report <br />
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