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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 - 1624 RESTAURANT/BAR 21-50 SEATS <br /> Permit ID# PT0003082 for Record ID# PR0161405 <br /> Valid From 2/1/2013 To 1/31/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: VALDEZ, EVA <br /> DBA: MARISCOS LA COSTA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MARISCOS LA COSTA Facility ID FA0003092 <br /> 240 E 11TH ST Account ID AR0002655 <br /> TRACY, CA 95376 Issued 12/31/2012 <br /> Billing Address: ATTN : VALDEZ, EVA <br /> MARISCOS LA COSTA <br /> 4141 STONERIDGE RD <br /> TRACY, CA 95304 <br />