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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 1623 -RESTAURANT/BAR 1-20 SEATS <br /> Permit ID# PT0003120 for Record ID # PR0161480 <br /> Valid From 6/1/2022 To 5/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FOUNTAIN, LORI <br /> DBA: BROKEN ARROW SALOON <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BILLS LOUNGE INC Facility ID FA0003130 <br /> 117 W ELEVENTH ST Account ID AR0002695 <br /> TRACY, CA 95376 Issued 5/5/2022 <br /> Billing Address: ATTN : FOUNTAIN, LORI <br /> BILLS LOUNGE INC <br /> 117 W ELEVENTH ST <br /> TRACY, CA 95376 <br /> combined.rpt End of report <br />