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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 1617 RETAIL MARKET> 1000 SQ FT W/FOOD PREP <br /> Permit ID# PT0028874 for Record ID# PR0547980 <br /> Valid From 10/1/2023 To 9/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SAFEWAY INC <br /> DBA: SAFEWAY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SAFEWAY FUEL#5816 Facility ID FA0027360 <br /> 19533 S MOUNTAIN HOUSE PKWY Account ID AR0052698 <br /> MOUNTAIN HOUSE, CA 95391 Issued 8/25/2023 <br /> Billing Address: ATTN : LICENSING <br /> SAFEWAY FUEL#5816 <br /> PO BOX 29096 MS #6516 <br /> PHOENIX,AZ 85038 <br /> 7024.rpt End of report <br />