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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# PT0010984 for Record ID# PR0515628 <br /> Valid From 1/1/2023 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SAFEWAY INC <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SAFEWAY#1648 Facility ID FA0022701 <br /> 2449 W KETTLEMAN LN Account ID AR0041568 <br /> LODI, CA 95242 Issued 11/2/2022 <br /> Billing Address: ATTN : NASC-TAX <br /> SAFEWAY#1648 <br /> PO BOX 29096 MS 6516 <br /> PHOENIX,AZ 85038-9096 <br /> 7024.rpt End of report <br />