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SAN JOAQUINCOUNTY ENVIRONMENTAL HEALTH ftPARTMENT <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 ID # PT0003152 for Record ID# PR0163138 <br /> Valid From 11/1/2012 To 10/31/2013 <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]LUST BE DISPLAYED CONSPICUOUSLY ON TRE PREMISES <br /> Regulated Facility: FRESH DONUTS & ICE CREAM Facility'D FA0003162 <br /> 1274 W 11TH ST Account 11) AR0002727 <br /> TRACY, CA 95376 issued 10/3/2012 <br /> Billing Address: ATTN : VUTH KEO <br /> FRESH DONUTS & ICE CREAM <br /> 1274 W 11TH ST <br /> TRACY, CA 95376 <br />