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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# PT0022267 for Record ID # PR0536360 <br /> Valid From 7/1/2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: COSTCO WHOLESALE CORPORATION <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: COSTCO WHOLESALE#1091 Facility ID FA0020431 <br /> 2680 REYNOLDS RANCH PKWY Account ID AR0036486 <br /> LODI, CA 95240 Issued 5/18/2022 <br /> Billing Address: ATTN : LICENSING <br /> COSTCO LICENSING <br /> PO BOX 35005 <br /> SEATTLE, WA 98124-3405 <br /> combined.rpt End of report <br />