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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# PT0000191 for Record ID # PR0161050 <br /> Valid From 2/1/2023 To 1/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MARTINEZ, ELIZABETH <br /> DBA: LA COSTA DE ACALPULCO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA COSTA DE ACAPULCO Facility ID FA0000183 <br /> 16444 CAMBRIDGE DR Account ID AR0000182 <br /> LATHROP, CA 95330 Issued 1/19/2023 <br /> Billing Address: ATTN : MARTINEZ, ELIZABETH <br /> LA COSTA DE ACAPULCO <br /> 2632 E LEWIS ST <br /> STOCKTON, CA 95205 <br /> combined.rpt End of report <br />