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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> p 600 E. Main St. a Stockton, CA 95202-3029 • 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) #S116033 <br /> Permit ID #PT0021986 for Record ID # PR0535830 j <br /> VEHICLE LIC #4KM7430 <br /> Valid From 12/3/2010 To 12/31/2011 <br /> ii <br /> r, <br /> N� <br /> p,. <br /> I, <br /> 7� <br /> sl <br /> Ii <br />!I <br /> I <br /> j <br /> r, <br /> r <br /> t' <br /> c <br /> k <br /> f PERMITS TO OPERATE are NOT TRANSFERABLE <br /> F and may be SUSPENDED or REVOKED for cause. <br /> fl <br /> PERMIT(s)Valid only for: GONZALEZ, PAN FILO; RAZO,MARTHA <br />,.` DBA: MELY'S CHURROS <br /> r <br /> f <br /> i <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> C Regulated Facility: MELYS CHURROS #4KM7430 Fac ity lD FA0019589 <br />=�1 <br /> Account ID AR0034871 <br /> I! 2700 FRUITRIDGE RD <br /> I' SACRAMENTO. CA 95820 Issued 12/13/2010 <br /> Billing Address: ATTN : MARTHA RAZO <br />! MELYS CHURROS #4KM7430 <br /> 9 RUIZ CT <br /> SACRAMENTO, CA 95823 <br /> l <br /> i <br /> 7017 rpt <br /> I <br />