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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 1626-RESTAURANT/BAR 101 +SEATS <br /> Permit ID # PT0003052 for Record ID# PRO161162 <br /> Valid From 12/1/2022 To 11/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CRC INC <br /> DBA: BLACK BEAR DINER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK BEAR DINER Facility ID FA0003060 <br /> 2351 TOSTE RD Account ID AR0002624 <br /> TRACY, CA 95377 Issued 11/9/2022 <br /> Billing Address: ATTN : CAPITAL RESTAURANT CONCEPTS <br /> BLACK BEAR DINER <br /> 2415 SAN RAMON VALLEY BLVD STE 4403 <br /> SAN RAMON, CA 94583 <br /> combined.rpt End of report <br />