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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 1619-RETAIL MKT>1000 SQ FT(=/>2 DEPTS) <br /> Permit ID# PT0014472 for Record ID # PR0521466 <br /> Valid From 5/1/2022 To 4/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CERVANTES, RIGOBERTO V <br /> DBA: LA MEXICANA SUPER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA MEXICANA SUPER Facility ID FA0014574 <br /> 3332 DELAWARE AVE Account ID AR0024810 <br /> STOCKTON, CA 95204 Issued 3/25/2022 <br /> Billing Address: ATTN : RIGOBERTO V CERVANTES <br /> LA MEXICANA SUPER <br /> 3332 DELAWARE AVE <br /> STOCKTON, CA 95204 <br /> combined.rpt End of report <br />