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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# PT0008895 for Record ID # PR0506527 <br /> Valid From 5/1/2023 To 4/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LANE GOMEZ, MIA& GOMEZ, EFRAIN <br /> DBA: CACTUS MEXICAN DINING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CACTUS MEXICAN DINING Facility ID FA0007477 <br /> 18815 N LOWER SACRAMENTO RD Account ID AR0011572 <br /> WOODBRIDGE, CA 95258 Issued 6/14/2023 <br /> Billing Address: ATTN : LANE GOMEZ, MIA <br /> CACTUS MEXICAN DINING <br /> PO BOX 696 <br /> WOODBRIDGE, CA 95258 <br /> 7024.rpt End of report <br />