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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 1621 BAR W/O FOOD PREP <br /> Permit ID # PT0011829 for Record ID# PR0518079 <br /> Valid From 12/1/2023 To 11/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: RECORE, KATRINA <br /> DBA: WATER HOLE TAVERN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WATER HOLE TAVERN Facility ID FA0013681 <br /> 246 N CLUFF AVE Account ID AR0022857 <br /> LODI, CA 95240 Issued 12/29/2023 <br /> Billing Address: ATTN : RECORE, KATRINA <br /> WATER HOLE TAVERN <br /> PO BOX 1208 <br /> LOCKEFORD, CA 95237 <br /> 7024.rpt End of report <br />