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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 - 1612 FOOD EST<500 SQ FT W/O SEATING <br /> Permit ID# PT0019821 for Record ID# PR0528512 <br /> Valid From 6/1/2013 To 5/31/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ANCHETA, RAECHELLE P <br /> DBA: JITTER JOLT <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JITTER JOLT Facility iD FA0019192 <br /> 5939 PACIFIC AVE Account iD AR0034157 <br /> STOCKTON, CA 95207 issued 5/1/2013 <br /> Billing Address: ATTN : ANCHETA, RAECHELLE <br /> JITTER JOLT <br /> 687 CLAIM STAKE AVE <br /> LATHROP, CA 95330 <br /> 7024 rpt <br />