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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 - 1615 RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Permit ID# PT0012320 for Record ID# PR0519192 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LONGS DRUG STORES CALIF LLC <br /> DBA: CVS/PHARMACY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: <br /> CVS/PHARMACY#3908 Facility lD FA0014350 <br /> 1885 W ELEVENTH ST Account ID AR0024383 <br /> TRACY, CA 95376 issued 6/4/2013 <br /> Billing Address: ATTN : LICENSING DEPT/RUTH PAREDES <br /> CVS/PHARMACY#3908 <br /> ONE CVS DR MAIL DROP 23062A <br /> WOONSOCKET, RI 02895 <br /> 7024 rpt <br />