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r <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1632 EXEMPT FOOD <br /> Permit ID#PT0001136 for Record ID# PR0161845 <br /> Valid From 711/2014 To 6/3012015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LODI UNIFIED SCHOOL DISTRICT <br /> DBA: LODI UNIFIED SCHOOL DISTRICT <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI USD-HERITAGE SCHOOL <br /> Facility ID FA0001135 <br /> 509 E EDEN ST Account ID AR0001133 <br /> LODI, CA 95240 Issued 61312014 <br /> Billing Address: <br /> LODI UNIFIED SCHOOL DISTRICT <br /> 1305 E VINE ST <br /> LODI, CA 95240 <br /> 7024.rpt <br />