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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jas jit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1695 - TEBTPORARY EVENT <br />1 <br />Regulated Facility: <br />Billing Address: <br />7020.rpt End of Reoort <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />PERMIT(s) Valid only for: SOUTHSIDE COMMUNITY CENTER <br />DBA: MEXSCAN INDEPENDENCE DAY <br />Facility ID FA0007432 <br />Account ID AR0011272 <br />issued 9/15/2023 <br />ATTN : SAMPINO, RICHARD <br />MEXICAN INDEPENDENCE CELEBRATION <br />126 W FIRST ST <br />TRACY CA 95376 <br />MEXICAN INDEPENDENCE CELEBRATION <br />EAST ST <br />TRACY CA 95376 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />Permit ID # PT0008841 for Record ID # PR0506450 <br />Valid From 9/16/2023 To 9/16/2023