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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LODI
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1600 - Food Program
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PR0160289
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Entry Properties
Last modified
11/6/2025 12:19:30 PM
Creation date
11/6/2025 12:18:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0160289
PE
1615 - RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP)
FACILITY_ID
FA0000121
FACILITY_NAME
CVS PHARMACY #9261
STREET_NUMBER
100
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04521002
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
100 W LODI AVE LODI 95240
Tags
EHD - Public
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ENVIRONMENTAL HEALTH <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Facility ID: FA0000121 <br />Issued: 10/21/2025 <br />End of Report7024 <br />Billing Address: ATTN: LICENSING DEPARTMENT <br />ONE CVS DRIVE - MC 1160 <br />WOONSOCKET, Rl 02895 <br />PERMIT TO OPERATE - 1615 - RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Record ID # PR0160289 <br />Valid From 07/01/2025 To 06/30/2026 <br />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 />Regulated Facility: CVS PHARMACY #9261 <br />100 W LODI AVE <br />LODI, CA 95240 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: CVS/ PHARMACY <br />DBA: CVS PHARMACY #9261
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