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I <br /> 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 1614 FOOD EST'>1001 SQ FT W/O SEATING <br /> Permit ID#PT0028239 for Record ID# PR0547158 <br /> Valid From 8/26/2021 To 8/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: BERTILACCHI, KATHERINE <br /> DBA: KTK CO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CRUMBL COOKIE Faciiity ID FA0026757 <br /> 864 W BENJAMIN HOLT DR Account iD AR0051013 <br /> STOCKTON, CA 95207 issued 9/3/2021 <br /> Billing Address: ATTN : BERTILACCHI, KATHERINE <br /> CRUMBL COOKIE <br /> 3966 GLEN ABBY CIR <br /> STOCKTON, CA 95219 <br /> ro24.rgt <br /> End or repos <br />