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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 1623 - RESTAURANT/BAR 1-20 SEATS <br />Permit ID # PT0000172 for Record ID # PR0160061 <br />Valid From 6/1/2021 To 5/31/2022 <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 />PHOMMACHAN, PHOUANGMALY <br />Regulated Facility: <br />107 N SACRAMENTO ST <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0000161 <br />AR0008574 <br />12/3/2021 <br />THAI KITCHEN <br />PHOMMACHAN, PHOUANGMALYATTN : Billing Address: <br />THAI KITCHEN <br />107 N SACRAMENTO ST <br />LODI, CA 95240 <br />End of reportcombined.rpt