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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 1624 RESTAURANT/BAR 21-50 SEATS <br /> Permit ID# PT0029702 for Record ID # PR0548980 <br /> Valid From 3/7/2024 To 3/31/2025 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MOOSE INTERNATIONAL <br /> DBA: LODI MOOSE LODGE #634 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI MOOSE LODGE #634 Facility ID FA0028092 <br /> 3824 E WOODBRIDGE RD Account ID AR0054622 <br /> ACAMPO, CA 95220 Issued 3/8/2024 <br /> Billing Address: ATTN : BYRNE,ANNETTE <br /> LODI MOOSE LODGE #634 <br /> 3824 E WOODBRIDGE RD <br /> ACAMPO, CA 95220 <br /> 7024.rpt End of report <br />