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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTI1 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 - 1612 FOOD EST<500 SQ FT W/O SEATING <br /> Permit ID#PT0020994 for Record ID# PR0531045 <br /> Valid From 9/1/2012 To 8/31/2013 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HA, DUYEN & NGUYEN,VIET"MIKE" <br /> DBA: DOMO JAPANESE SUSHI GRILL/BAR <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SIGNATURE CREPE Facility ID FA0020012 <br /> 104 LINCOLN CENTER Account ID AR0035637 <br /> STOCKTON, CA 95207 Issued 8/2/2012 <br /> Billing Address: ATTN : VIET NGUYEN & DUYEN HA <br /> SIGNATURE CREPE <br /> 104 LINCOLN CENTER <br /> STOCKTON, CA 95207 <br /> 7024.rpt <br />