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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> DonnaHeran,R.E.H.S.,Director <br /> .. ...._........._.._.... <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1632 EXEMPT FOOD <br /> Permit ID#PT0008072 for Record ID# PRO505500 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MANTECA UNIFIED SCHOOL DIST <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MUSD-AUGUST KNODT SCHOOL Faulity to FA0006817 <br /> 3939 EWS WOODS BLVD <br /> Account to AR0009437 <br /> STOCKTON, CA 95206 <br /> Issued 6/26/2012 <br /> Billing Address. ATTN . NUTRITION SERVICES <br /> MUSD-AUGUST KNODT SCHOOL <br /> _ . PO BOX 32 <br /> MANTECA, CA 95336 <br /> 7o21.mt <br />