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SAN JOAQUIN't!'04UNTY ENVIRONMENTAL HEALTIMPARTMENT <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 - 1621 BAR w/o FOOD PREP <br /> Permit ID#E PT0001036 for Record ID#PR0160756 <br /> Valid From 1/1/2011 To 12/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LAIRD,TODD <br /> DBA: KOE'S BAR <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KOES BAR Facility ID FA0008035 <br /> 10200 N HWY 99 FRONTAGE RD Account ID AR0015096 <br /> STOCKTON, CA 95212 Issued 12/9/2010 <br /> Billing Address: ATTN : LAIRD, TODD <br /> KOES BAR <br /> 10200 N HWY 99 FRONTAGE RD <br /> STOCKTON, CA 95212 <br /> 7p24.rp1 <br />