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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MICKE GROVE
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11793
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1600 - Food Program
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PR0541038
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COMPLIANCE INFO
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Entry Properties
Last modified
6/5/2026 8:54:28 AM
Creation date
6/5/2026 8:53:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0541038
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0023499
FACILITY_NAME
PACIFIC SERVICE EMPLOYEES ASSOCIATION
STREET_NUMBER
11793
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\tchampion
Supplemental fields
Site Address
11793 N MICKE GROVE RD LODI 95240
Tags
EHD - Public
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Food vendor# is to correspond with food vendor list attached.FV# <br />RR <br /><24^ <br />TEMP EVENT APPPage 10 of 11 <br />Draw a site map showing proposed locations of all food booths, restrooms, <br />warewashing facilities and janitorial facilities. Use the symbols above. <br />EHD 16-02 <br />7/14/15 <br />Warewashing <br />Facilities <br />Restroom <br />Facilities <br />Janitorial Facilities to <br />dump wastewater <br />^MPORARY EVENT SITE PLA^ <br />A
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