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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 1625 - RESTAURANT/BAR 51-100 SEATS <br />Permit ID # PT0015887 for Record ID # PR0523357 <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 />PAYNE 278, INC <br />KENTUCKY FRIED CHICKEN <br />Regulated Facility: <br />1211 E YOSEMITE AVE <br />MANTECA, CA 95336 <br />Facility ID <br />Account ID <br />Issued <br />FA0015781 <br />AR0027350 <br />12/13/2021 <br />KENTUCKY FRIED CHICKEN <br />CHOUA VUEATTN : Billing Address: <br />PAYNE 278, INC <br />2846 VOLPEY WAY <br />UNION CITY, CA 94587 <br />End of reportcombined.rpt