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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1636-LTD FOOD VEHICLE (PRODUCE/WHOLE FISH)#S205395 <br /> Permit ID # PT0027286 for Record ID # PRO545218 <br /> VEHICLE LIC #39665W1 <br /> Valid From 1/17/2020 To 12/31/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JIMENEZ SANCHEZ, FERNANDO <br /> DBA: LA POBLANA RESTAURANTE Y PANDERIA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA POBLANA RESTAURANTE#39665W1 Facility ID FA0025708 <br /> 600 S CENTRAL AVE /account ID AR0048636 <br /> LODI, CA 95240 Issued 1/21/2020 <br /> Billing Address: ATTN : JIMENEZ SANCHEZ, FERNANDO <br /> LA POBLANA RESTAURANTE#39665W1 <br /> 516 CENTRAL AVE <br /> LODI, CA 95240 <br /> 7ot6.rpt <br />