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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547977
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Entry Properties
Last modified
5/21/2025 11:38:05 AM
Creation date
11/1/2022 1:59:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547977
PE
1681 - COMMISSARY (VEHICLE/CART)
FACILITY_ID
FA0027357
FACILITY_NAME
KREATIVELY KISHA LLC
STREET_NUMBER
259
Direction
S
STREET_NAME
GUILD
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
259 S GUILD AVE LODI 95240
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Haze1ton Avenue - Stockton, CA 95205-6232 - Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1681 - COMMISSARY (VEHICLE/CART) <br />Record ID # PR0547977 <br />Valid From 10/01/2024 To 09/30/2025 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: MARTIN, LAKISHA <br />DBA: KREATIVELY KISHA LLC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: KREATIVELY KISHA LLC <br />259 S GUILD AVE <br />LODI, CA 95240 <br />Billing Address: ATTN: LAKISHA MARTIN <br />9064 CHIANTI CIR <br />STOCKTON, CA 95212 <br />Facility ID: FA0027357 <br />Issued: 04/23/2025 <br />7024 <br />End of Report
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