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SAN JOAQUIN COUNTY ENVIl20NNIENTAL 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 7/1/2013 To 6/30/2014 <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 Facility lD FA0001135 <br /> 509 E EDEN ST Account lD AR0001133 <br /> LODI, CA 95240 Issued 7/3/2013 <br /> Billing Address: <br /> LODI UNIFIED SCHOOL DISTRICT <br /> 1305 E VINE ST <br /> LODI, CA 95240 <br /> 7024 rpt <br />