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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1632 EXEMPT FOOD <br />Permit ID # PT0012250 for Record ID # PR0518890 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />HSA-AGING & COMMUNITY SERVICES <br />Regulated Facility: <br />15707 FIFTH ST <br />LATHROP, CA 95330 <br />Facility ID <br />Account ID <br />Issued <br />FA0014193 <br />AR0024047 <br />6/9/2021 <br />LATHROP SENIOR CENTER <br />SENIOR NUTRITION PROGRAMATTN : Billing Address: <br />LATHROP SENIOR CENTER <br />15707 FIFTH ST <br />LATHROP, CA 95330 <br />End of report7024.rpt