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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <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 - 1621 BAR w/o FOOD PREP <br /> Permit ID# PT0003092 for Record ID# PR0161434 <br /> Valid From 12/1/2012 To 11/30/2013 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BEERS, SHAWNA E <br /> DBA: RALPHS CLUB <br /> THIS FORD1 MllST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: RALPHS CLUB Fac'otyiD FA0003102 <br /> 444 E 11TH ST Account ID AR0002665 <br /> TRACY, CA 95376 Issued 11/9/2012 <br /> Billing Address: ATTN : BEERS, SHAWNA E <br /> RALPHS CLUB <br /> 1426 SUNRISE CT <br /> TRACY, CA 95377 <br />