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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 1625 -RESTAURANT/BAR 51-100 SEATS <br /> Permit ID# PT0019347 for Record ID # PR0527613 <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: SIBLEY, NANCY <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: OLD RIVER GOLF COURSE Facility ID FA0015823 <br /> 18007 S MACARTHUR DR Account ID AR0027489 <br /> TRACY, CA 95378 Issued 5/18/2022 <br /> Billing Address: ATTN : SIBLEY, NANCY <br /> OLD RIVER GOLF COURSE <br /> 461 UNIVERSITY AVE <br /> LOS GATOS, CA 95032-4411 <br /> combined.rpt End of report <br />