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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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2602
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1600 - Food Program
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PR0546016
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Entry Properties
Last modified
8/5/2020 11:44:20 AM
Creation date
8/5/2020 11:43:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546016
PE
1623
FACILITY_ID
FA0026025
FACILITY_NAME
DUTCH BROS COFFEE
STREET_NUMBER
2602
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2602 W KETTLEMAN LN
P_LOCATION
02
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 - 1623 RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0027554 for Record ID # PR0546016 <br />Valid From 7/16/2020 To 7/31/2021 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: GARRETT, KYLE <br />DBA: GARRETT, INNOVATIONS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: DUTCH BROS COFFEE Facility ID FA0026025 <br />2602 W KETTLEMAN LN Account io AR0049296 <br />LODI, CA 95240 Issued 7/16/2020 <br />Billing Address: ATTN : GARRETT, KYLE <br />DUTCH BROS COFFEE <br />12884 SIMPSON RANCH CT <br />WILTON. CA 95693 <br />7o24.mt <br />
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