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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MICKE GROVE
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11793
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1600 - Food Program
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PR0541038
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Entry Properties
Last modified
7/7/2026 4:26:58 PM
Creation date
7/7/2026 4:25:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0541038
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0023499
FACILITY_NAME
PACIFIC SERVICE EMPLOYEES ASSOCIATION
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\tchampion
Supplemental fields
Site Address
11793 N MICKE GROVE RD LODI 95240
Tags
EHD - Public
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Linda Turkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1695 - TEMPORARY EVENT <br />PERMIT(s) Valid only for: PACIFIC SERVICE EMPLOYEES ASSOCIATION <br />ITHIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />Billing Address: <br />7020. rpt <br />SAN JOAQUlt ^OUNTY ENVIRONMENTAL HEAL1 JEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Facility id FA0023499 <br />Account ID AR0043326 <br />Issued 5/27/2016 <br />ATTN : CHADBOURNE, DOUG <br />PACIFIC SERVICE EMPLOYEES ASSOCIATION <br />1390 WILLOW PASS RD #240 <br />CONCORD CA 94520 <br />PACIFIC SERVICE EMPLOYEES ASSOCIATIOI <br />11793 N MICKE GROVE RD <br />LODI CA 95240 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />Permit ID # PT0025186 for Record ID # PR0541038 <br />Valid From 6/8/2016 To 6/8/2016
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