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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 1612 -FOOD EST<500 SQ FT W/O SEATING <br /> Permit ID# PT0018218 for Record ID # PR0526131 <br /> Valid From 11/1/2022 To 10/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MONTANDON, SARA <br /> DBA: NIGHTINGALE COFFEE &TEA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: NIGHTINGALE COFFEE &TEA Facility ID FA0017681 <br /> 1505 MOFFAT BLVD Account ID AR0030803 <br /> MANTECA, CA 95336 Issued 12/19/2022 <br /> Billing Address: ATTN : MONTANDON, SARA <br /> NIGHTINGALE COFFEE &TEA <br /> 1457 ALBERO CT <br /> MANTECA, CA 95337 <br /> combined.rpt End of report <br />