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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PARK
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521
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1600 - Food Program
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PR2500522
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Entry Properties
Last modified
7/22/2026 3:03:21 PM
Creation date
11/19/2025 7:54:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR2500522
PE
1633 - FOOD VEHICLE/CART (LTD FOOD PREP)
FACILITY_ID
FA0004337
FACILITY_NAME
RAE COFFEE COMPANY
STREET_NUMBER
521
STREET_NAME
PARK
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
521 PARK ST LODI 95240
Tags
EHD - Public
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f � <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 /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE-1633-FOOD VEHICLEICART(LTD FOOD PREP) <br /> Record ID#PR2500522 <br /> Valid From 07/09/2025 To 12/31/2025 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: TYLER NORGARRD <br /> DBA: RAE COFFEE COMPANY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: RAE COFFEE COMPANY Facility ID: FA0004337 <br /> 521 PARK ST <br /> LODI, CA 95240 Issued: 07/22/2025 <br /> Billing Address: ATTN: TYLER NORGARRD <br /> 521 PARK ST <br /> LODI, CA 95240 <br /> T024 End of finpoit <br />
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