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Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2448
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1600 - Food Program
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PR0160253
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Entry Properties
Last modified
2/26/2020 9:17:54 AM
Creation date
2/26/2020 9:17:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0160253
PE
1615
FACILITY_ID
FA0000505
FACILITY_NAME
SPEEDWAY #4612
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
01
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
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 />Linda Turkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1615 RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Permit ID # PT0000511 for Record ID # PR0160253 <br />Valid From 9/19/2019 To 9/30/2020 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: WESTERN REFINING RETAIL LLC <br />DBA: SPEEDWAY #4873 <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: SPEEDWAY #4612 Facility ID FA0000505 <br />2448 W KETTLEMAN LN Account iD AR0004352 <br />LODI, CA 95240 issued 9/25/2019 <br />BiiiingAddress: ATTN : WESTERN REFINING RETAIL LLC <br />SPEEDWAY #4612 <br />19100 RIDGEWOOD PKWY <br />SAN ANTONIO, TX 78259 <br />7024.rpt <br />
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