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THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />‘ <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HazeIton 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 1634 - FOOD VEHICLE/CART (PREPKGD ONLY) <br />Permit ID # PT0028707 for Record ID # PR0547767 <br />VEHICLE LIC # 78319L3 <br />Valid From 1/1/2024 To 12/31/2024 <br /> <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. I <br />PERMIT(s) Valid only for: TAN, DUC <br />DBA: ICE ICE BABY ICE CREAM <br />Regulated Facility: ICE ICE BABY ICE CREAM #78319L3 <br />Facility ID FA0027207 <br />435 MAZE BLVD <br /> Account ID AR0052222 <br />MODESTO, CA 95351 <br />Issued 4/26/2024 <br />Billing Address: <br />combinedrpt <br />ATTN : TAN, DUC <br />ICE ICE BABY ICE CREAM #78319L3 <br />3216 LEMMONS ST <br />RIVERBANK, CA 95367 <br />End of report