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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTti DEPARTMENT <br /> 1868 E. Hazelton Ave. 9 Stockton,CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1616 RETAIL MARKET< 1000 SQ FT W/FOOD PREP <br /> Permit ID# PT0018718 for Record ID# PR0526770 <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: ESCOBAR, VIRGILIO R JR <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ISLAND GOURMET MARKET Facility ID FA0018127 <br /> 1381 W 11TH ST Account ID AR0031896 <br /> TRACY, CA 95376 Issued 12131/2012 <br /> Billing Address: ATTN : ESCOBAR, VIRGILIO RJR <br /> ISLAND GOURMET MARKET <br /> 1381 W 11TH ST <br /> TRACY, CA 95376 <br />