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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 • 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#PT0007190 for Record ID# PR0504859 <br /> Valid From 7/1/2011 To 6/30/2012 <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-CLEMENTS SCHOOL Facility ID FA0004269 <br /> 19051 E HWY 88 Account ID AR0004323 <br /> CLEMENTS, CA 95227 Issued 5/27/2011 <br /> Billing Address: <br /> LODI UNIFIED SCHOOL DISTRICT <br /> 1305 E VINE ST <br /> LODI, CA 95240 <br /> 7024.rpt <br />