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SAN JOAQUI 1 COUNTY ENVIRONi IENTAL 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#PT0019991 for Record ID# PR0528910 <br /> Valid From 71112013 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: CITY OF LATHROP <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MANUEL VALVERDE PARK Facility io FA0019370 <br /> 15557 FIFTH ST Account ID AR0034416 <br /> LATHROP, CA 95330 issued 713/2013 <br /> Billing Address: ATTN : PARKS & RECREATION DIRECTOR <br /> MANUEL VALVERDE PARK <br /> 390 TOWNE CENTRE DR <br /> LATHROP, CA 95330 <br /> 7024 rol <br />