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BILLING_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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224
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1600 - Food Program
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PR0162820
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BILLING_2022
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Entry Properties
Last modified
12/13/2021 3:47:24 PM
Creation date
12/13/2021 3:26:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0162820
PE
1625
FACILITY_ID
FA0000724
FACILITY_NAME
EL POLLO LOCO #3783 (LODI, CA)
STREET_NUMBER
224
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202006
CURRENT_STATUS
01
SITE_LOCATION
224 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0000723 eplmartin209@gmail.com;armenta.group@gmail.com
EmailSent
12/13/2021 3:47:24 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0162820
Tags
EHD - Public
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1868 E. Hazelton Ave. • Stockton, CA 95205-6232• Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1625 RESTAURANT/BAR 51-100 SEATS <br />Permit ID # PT0000729 for Record ID # PR0162820 <br />Valid From 1/1/2022 To 12/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />VILLA/ ARMENTA LLC <br />EL POLLO LOCO <br />Regulated Facility: <br />224 W KETTLEMAN LN <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0000724 <br />AR0000723 <br />12/13/2021 <br />EL POLLO LOCO #3783 (LODI, CA) <br />VILLA ARMENTA LLCATTN : Billing Address: <br />MIGUEL, SUSAN <br />406 MOTOR CITY CT BLDG D <br />MODESTO, CA 95356-9200 <br />End of report7024.rpt
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