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SAN JOAQUIN UNTY ENVIRONMENTAL HEALTL DARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 9 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 # PT0021138 for Record ID#PR0534839 <br /> Valid From 7/1/2010 To 613012011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: STOCKTON UNIFIED SCHOOL DIST <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SUSD-LANGSTON HUGHES ACADEMY Facility ID FA0020149 <br /> 612 E MAGNOLIA ST Account ID AR0035949 <br /> STOCKTON, CA 95205 Issued 6/4/2010 <br /> Billing Address: ATTN : FOOD SERVICE- BRENDA <br /> SUSD-LANGSTON HUGHES ACADEMY <br /> 1944 N EL PINAL DR <br /> STOCKTON, CA 95205 <br /> 7024.rpt <br />