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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) # S213568 <br />Permit ID # PT0028130 for Record ID # PR0546995 <br />VEHICLE LIC # 4PR2052 <br />Valid From 6/15/2021 To 12/31/2021 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />MARTINEZ, SHILOH MOSES <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />VISION COFFEE LOUNGE <br />Regulated Facility: VISION COFFEE LOUNGE #4PR2052 <br />1717 S UNION ST <br />STOCKTON, CA 95206 <br />Facility ID <br />Account ID <br />Issued <br />FA0026629 <br />AR0050722 <br />6/21/2021 <br />ATTN : MARTINEZ, SHILOH MOSESBilling Address: <br />VISION COFFEE LOUNGE #4PR2052 <br />1161 E YOSEMITE AVE APT 21 <br />MANTECA, CA 95336 <br />7016.rpt End of Report