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SAN JOAQUII )LINTY ENVIRONMENTAL HEALTI ?PARTIVIENT <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# PT0001539 for Record ID# PR0160447 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JOHANSEN, LARRY <br /> DBA: WINE WIZARD <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WINE WIZARD Facility ID FA0001543 <br /> 2222 GRAND CANAL BLVD#3-3 Account ID AR0001542 <br /> STOCKTON, CA 95207-6676 Issued 5/23/2014 <br /> Billing Address: ATTN : JOHANSEN, LARRY <br /> WINE WIZARD <br /> 2222 GRAND CANAL BLVD 3-3 <br /> STOCKTON, CA 95207-6676 <br /> 7024 rpt <br />