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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 1617-RETAIL MARKET> 1000 SQ FT W/FOOD PREP <br /> Permit ID# PT0000504 for Record ID # PR0161724 <br /> Valid From 11/1/2021 To 10/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BARAJAS, MARIA <br /> DBA: LA CAPILLA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA CAPILLA Facility ID FA0000498 <br /> 725 S CHEROKEE LN Account ID AR0000497 <br /> LODI, CA 95240 Issued 2/9/2022 <br /> Billing Address: ATTN : BARAJAS, MARIA <br /> LA CAPILLA <br /> 725 S CHEROKEE LN <br /> LODI, CA 95240 <br /> combined.rpt End of report <br />