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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 /> PERMIT TO OPERATE - PE 1613 FOOD EST 501-1000 SQ FT W/O SEATING <br /> Permit ID# PT0001254 for Record ID# PR0163254 <br /> Valid From 4/1/2021 To 3/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BOERSMA, TRAVIS <br /> DBA: DUTCH BROS COFFEE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DUTCH BROS COFFEE Facility ID FA0001254 <br /> 1130 E MARCH LN account ID AR0001252 <br /> STOCKTON, CA 95207 Issued 3/23/2021 <br /> Billing Address: ATTN : LEGAL DEPT <br /> DUTCH BROS COFFEE <br /> PO BOX 1929 <br /> GRANTS PASS, OR 97528 <br /> 7024.rpt End of report <br />