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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# PT0028339 for Record ID# PR0547287 <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: KIPP STOCKTON MIDDLE SCHOOL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KIPP STOCKTON MIDDLE SCHOOL Facility ID FA0026857 <br /> 742 DALLAS AVE Account ID AR0051262 <br /> STOCKTON CA 95206 Issued 6/14/2022 <br /> Billing Address: ATTN : MIRANDA, JESSICA <br /> KIPP STOCKTON MIDDLE SCHOOL <br /> 742 DALLAS AVE <br /> STOCKTON CA 95206 <br /> 7027.rpt End of Report <br />