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SAN JOAQUIt 1 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 - 1633-FOOD VEHICLE/CART (LTD FOOD PREP)#S138058 <br /> Permit ID # PT0021990 for Record ID # PR0535834 <br /> VEHICLE LIC# 4DA6178 <br /> Valid From 1/1/2013 To 12/31/2013 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: URBANO, LILIA <br /> DBA: URBANO FAMILY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: URBANO FAMILY#4KK9311 &#4DA6178 Facility ID FA0015537 <br /> 730 S CALIFORNIA ST Account ID AR0026826 <br /> STOCKTON, CA 95203 Issued 12/20/2012 <br /> Billing Address: ATTN : LILIA URBANO <br /> URBANO FAMILY#4KK9311 &#4DA6178 <br /> 1017 S WINDSOR AVE <br /> STOCKTON, CA 95205-7220 <br /> 7016.rpt <br />