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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 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> Permit ID# PT0029309 for Record ID# PR0548541 <br /> Valid From 6/29/2023 To 6/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FRIAZ, ITZCOATL J <br /> DBA: CULEBRA COFFEE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CULEBRA COFFEE Facility ID FA0027747 <br /> 9143 BLUE FOX WAY Account ID AR0053858 <br /> STOCKTON, CA 95209 Issued 6/30/2023 <br /> Billing Address: ATTN : FRIAZ, ITZCOATL <br /> CULEBRA COFFEE <br /> 9143 BLUE FOX WAY <br /> STOCKTON, CA 95209 <br /> 7024.rpt End of report <br />