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SR2501198_2025
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1110
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1600 - Food Program
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SR2501198_2025
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Entry Properties
Last modified
4/18/2026 8:48:26 AM
Creation date
4/18/2026 8:46:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
SR2501198
PE
1602 - FOOD PROGRAM CHANGE OF OWNER
FACILITY_ID
FA0021301
FACILITY_NAME
CREPE TEA LODI
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06037001
CURRENT_STATUS
Pending
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
Site Address
1110 #2 W KETTLEMAN LN LODI 95240
Suite #
#2
Tags
EHD - Public
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Food Program Service Request Inspection Report <br />Facility Name and Address: CREPE TEA LODI, 1110 W KETTLEMAN LN , LODI 95240 <br />Environmental Health Department <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: <br />EH Specialist:Phone:(209) 616-3020 <br />, <br />VIDAL PEDRAZA <br />, <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0021301 SR2501198 SC521 06/19/2025
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