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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERbHT TO OPERATE - PE 1636 - LTD FOOD VEHICLE I PRODUCE/WHOLE FISH) # S227449 <br />Permit ID # PT0027286 for Record ID # PRO545218 <br />VEHICLE LIC # 39665W1 <br />Valid From 1/1/2022 To 12/31/2022 <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 POSLANA 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 Amount ID AR0043636 <br />LODI, CA 95240 Issued 3/4/2022 <br />Billing Address: ATTN : JIMENEZ SANCHEZ, FERNANDO <br />LA POBLANA RESTAURANTE #39665W1 <br />516 CENTRALAVE <br />LODI, CA 95240 <br />7016 rpt End of Report <br />