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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTHPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202-3029 • 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 1D# PT0012226 for Record ID#PR0518813 <br /> Valid From 10/1/2009 To 9/30/2010 <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 Faciity: SAFEWAY 92600 Facilty ID FA0014159 <br /> 1801 W 11TH ST Account ID AR0023968 <br /> TRACY, CA 95376 Issued 8/31/2009 <br /> Billing Address: ATTN : MS#6516 TAX, NASC <br /> SAFEWAY#2600 <br /> PO BOX 29096 <br /> PHOENIX, AZ 85038-9096 <br /> 7024.rpt <br />