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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WOODBRIDGE
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3824
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1600 - Food Program
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PR0548980
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Entry Properties
Last modified
8/5/2026 1:38:36 PM
Creation date
5/17/2024 8:43:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548980
PE
1624 - RESTAURANT/BAR 21-50 SEATS
FACILITY_ID
FA0028092
FACILITY_NAME
LODI MOOSE LODGE #634
STREET_NUMBER
3824
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
3824 E WOODBRIDGE RD ACAMPO 95220
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Avenue-Stockton,CA 95205-6232-Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE- 1624-RESTAURANT/BAR 21-50 SEATS <br /> Record 1D# PR0548980 <br /> Valid From 04/01/2026 To 03/3112027 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only far: MOOSE INTERNATIONAL <br /> DBA: LODI MOOSE LODGE#634 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI MOOSE LODGE#634 Facility 1D: FA0028092 <br /> 3824 E WOODBRIDGE RD <br /> ACAMPO, CA 95220 Issued: 03/27/2026 <br /> Billing Address: ATTN: SHANNON TRULL <br /> 3824 E WOODBRIDGE RD <br /> ACAMPO, CA 95220 <br /> 7024 End of Report <br />
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