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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> F <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Linda Tarkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1623 RESTAURANT/BAR 1-20 SEATS <br /> Permit ID#PT0000457 for Record ID# PR0167504 <br /> Valid From 6/2012017 To 6/3012018 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SOUZA, TAMMY& RODNEY <br /> DBA: BASKIN ROBBINS <br /> TRIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BASKIN ROBBINS#181 Facility ID FA0000450 <br /> 135 LAKEWOOD MALL Account ID AR0000449 <br /> LODI, CA 95242 issued 6120/2017 <br /> Billing Address: ATTN : SOUZA, TAMMY& RODNEY <br /> BASKIN ROBBINS#181 <br /> 135 LAKEWOOD MALL <br /> LODI, CA 95242 <br /> 7024.rpt <br />