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SAN JOAQUIN CNAINTY ENVIRONMENTAL HEALTH ITPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1623 RESTAURANTBAR 1-20 SEATS <br /> Permit 1D# PT0003152 for Record ID# PR0163138 <br /> Valid From 11/1/2013 To 10/31/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: KEO, VUTH <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility FRESH DONUTS & ICE CREAM FaclIIty iD FA0003162 <br /> 1274 W 11TH ST Account ID AR0002727 <br /> TRACY, CA 95376 issued 9/27/2013 <br /> Billing Address: ATTN : VUTH KEO <br /> FRESH DONUTS & ICE CREAM <br /> 1274 W 11TH ST <br /> TRACY, CA 95376 <br /> 7024rpt <br />