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SAN JOAQUIN 6OUNTY ENVIRONMENTAL HEALTiMEPARTMENT <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 - 1619 RETAIL MKT>1000 SQ FT (=/>2 DEPTS) <br /> Permit ID# PT0012226 for Record ID# PR0518813 <br /> Valid From 101112012 To 913012013 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SAFEWAY INC <br /> DBA: SAFEWAY INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SAFEWAY#2600 Facility ID FA0014159 <br /> 1801 W 11TH ST Account ID AR0023968 <br /> TRACY, CA 95376 Issued 9/712012 <br /> Billing Address: ATTN : MS#6516 TAX, NASC <br /> SAFEWAY#2600 <br /> PO BOX 29096 <br /> PHOENIX, AZ 85038-9096 <br />