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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 1624-RESTAURANT/BAR 21-50 SEATS <br /> Permit ID# PT0007746 for Record ID # PR0505144 <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: LOPEZ, RICKY <br /> DBA: THE UPPER ROOM <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: THE UPPER ROOM Facility ID FA0006572 <br /> 130 W ELEVENTH ST#B Account ID AR0010434 <br /> TRACY, CA 95376 Issued 5/18/2022 <br /> Billing Address: ATTN : LOPEZ, RICKY <br /> THE UPPER ROOM <br /> 2629 ALMANOR DR <br /> TRACY, CA 95376 <br /> combined.rpt End of report <br />