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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 1624 RESTAURANT/BAR 21-50 SEATS <br /> Permit ID# PT0001041 for Record ID# PR0167521 <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: AVILA, JORGE A <br /> DBA: LA COSTA TAQUERIA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA COSTA TAQUERIA Facility ID FA0001040 <br /> 205 MOFFAT BLVD account ID AR0001038 <br /> MANTECA, CA 95336 Issued 3/24/2021 <br /> Billing Address: ATTN : JORGEAVILA <br /> LA COSTA TAQUERIA <br /> 205 MOFFAT BLVD <br /> MANTECA, CA 95336 <br /> 7024.rpt End of report <br />