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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1632-EXEMPT FOOD <br /> Permit ID # PT0011703 for Record ID# PR0517717 <br /> Valid From 7/1/2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HSA-AGING & COMMUNITY SERVICES <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SJC COMMODITY PROGRAM Facility ID FA0013563 <br /> 2736 TEEPEE DR#C Account ID AR0022672 <br /> STOCKTON CA 95205 Issued 6/14/2022 <br /> Billing Address: ATTN : HSA-AGING & COMMUNITY SERVICES <br /> SJC COMMODITY PROGRAM <br /> PO BOX 201056 <br /> STOCKTON CA 95201 <br /> 7027.rpt End of Report <br />