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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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PR0548998
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Entry Properties
Last modified
5/16/2024 11:34:08 AM
Creation date
5/16/2024 11:33:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548998
PE
1608
FACILITY_ID
FA0028107
FACILITY_NAME
SUMMERS SOURDOUGH
STREET_NUMBER
6318
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
6318 E VICTOR RD
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br />Permit ID # PT0029713 for Record ID # PR0548998 <br />Valid From 3/18/2024 To 3/31/2025 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SUMMERS, VICTORIA <br />DBA: SUMMERS SOURDOUGH <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: SUMMERS SOURDOUGH <br /> Facility ID FA0028107 <br />6318 E VICTOR RD Account ID AR0054700 <br />LODI, CA 95240 <br />Issued 3/18/2024 <br />Billing Address: <br />7024.rpt <br />ATTN : SUMMERS, VICTORIA <br />SUMMERS SOURDOUGH <br />6318 E VICTOR RD <br />LODI, CA 95240 <br />End of report
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