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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 1613 - FOOD EST 501-1000 SQ FT W/O SEATING <br />Permit ID # PT0027750 for Record ID # PR0546379 <br />Valid From 12/1/2021 To 11/30/2022 <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 />DUTCH BROS., LLC <br />DUTCH BROS LLC <br />Regulated Facility: <br />1105 W YOSEMITE AVE <br />MANTECA, CA 95337 <br />Facility ID <br />Account ID <br />Issued <br />FA0026285 <br />AR0049909 <br />11/15/2021 <br />DUTCH BROS COFFEE <br />LEGAL DEPTATTN : Billing Address: <br />DUTCH BROS COFFEE <br />PO BOX 1929 <br />GRANTS PASS, OR 97582 <br />End of reportcombined.rpt