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4t <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH llEPARTMENT <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 RESTAURANTBAR 21-50 SEATS <br /> Permit ID# PT0019754 for Record ID# PR0528275 <br /> Valid From 11/14/2012 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: GIMENES,ALICE <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: <br /> ASIAN-CAJAN CRAWFISH Facility ID FA0019114 <br /> 95 W 11TH ST# 103 Account ID AR0034038 <br /> TRACY, CA 95376 Issued 11/14/2012 <br /> Billing Address: ATTN : GIMENES, ALICE <br /> ASIAN-CAJAN CRAWFISH <br /> 915 LIBERTY CT <br /> TRACY, CA 95376 <br /> 7024.rpt <br />