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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 1615 RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Permit ID# PT0000463 for Record ID # PR0160259 <br /> Valid From 8/1/2023 To 7/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JACOBS, CHARLES <br /> DBA: JACOBS TERMINOUS MARKET <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JACOBS TERMINOUS MARKET Facility ID FA0000456 <br /> 15004 N GLASSCOCK RD Account ID AR0000455 <br /> LODI, CA 95242 Issued 7/10/2023 <br /> Billing Address: ATTN : JACOBS, CHARLES <br /> JACOBS TERMINOUS MARKET <br /> 15004 GLASSCOCK RD <br /> LODI, CA 95242 <br /> 7024.rpt End of report <br />