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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 1618 - RETAIL MKT >2000 SQ FT (PREPKGD / LTD PREP) <br />Permit ID # PT0001109 for Record ID # PR0161905 <br />Valid From 11/1/2020 To 10/31/2021 <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 />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />VILLALBA, ISMAEL <br />GROCERY OUTLET <br />Regulated Facility: <br />1060 N WILSON WAY <br />STOCKTON, CA 95205 <br />Facility ID <br />Account ID <br />Issued <br />FA0001108 <br />AR0001106 <br />9/14/2021 <br />GROCERY OUTLET <br />VILLALBA, ISMAELATTN : Billing Address: <br />GROCERY OUTLET <br />1060 N WILSON WAY <br />STOCKTON, CA 95205 <br />End of reportcombined.rpt