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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 # PT0000870 for Record ID # PR0163025 <br />Valid From 1/1/2022 To 12/31/2022 <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 />PHAM, ANDY <br />ICHIBAN TEPPANYAKI & SUSHI <br />Regulated Facility: <br />1242 W LATHROP RD <br />MANTECA, CA 95336 <br />Facility ID <br />Account ID <br />Issued <br />FA0000869 <br />AR0000867 <br />12/13/2021 <br />ICHIBAN TEPPANYAKI & SUSHI <br />PHAM, ANDYATTN : Billing Address: <br />ICHIBAN TEPPANYAKI & SUSHI <br />1242 W LATHROP RD <br />MANTECA, CA 95336 <br />End of report7024.rpt