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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 RESTAURANTBAR 21-50 SEATS <br /> Permit ID# PT0019188 for Record ID# PR0527403 <br /> Valid From 10/1/2013 To 9/30/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HO, AMMIE <br /> DBA: LOLLICUP COFFEE & TEA A&A <br /> THIS FORM MUST BE DISPLAYED CONS PICLIOLIS LYON THE PREMISES <br /> Regulated Facility: LOLLICUP COFFEE & TEA A&A Facility ID FA0018553 <br /> 1633 E HAMMER LN #C Account ID AR0032843 <br /> STOCKTON, CA 95210 Issued 9/3/2013 <br /> Billing Address: ATTN : HO, AMMIE <br /> LOLLICUP COFFEE & TEA A&A <br /> 1633 HAMMER LN STE C <br /> STOCKTON, CA 95210 <br /> 7024 rpt <br />