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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# PT0014740 for Record ID # PR0521812 <br /> Valid From 8/1/2022 To 7/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MEJIA CANO,ALEJANDRA <br /> DBA: LA POBLANA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA POBLANA Facility ID FA0014812 <br /> 600 S CENTRAL AVE Account ID AR0025248 <br /> LODI, CA 95240 Issued 7/29/2022 <br /> Billing Address: ATTN : MEJIA CANO,ALEJANDRA <br /> LA POBLANA <br /> 600 S CENTRAL AVE <br /> LODI, CA 95240 <br /> combined.rpt End of report <br />