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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# PT0000178 for Record ID # PR0160225 <br /> Valid From 7/1/2023 To 6/30/2024 <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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI USD-LAKEWOOD SCHOOL Facility ID FA0000167 <br /> 1100 N HAM LN Account ID AR0000166 <br /> LODI CA 95240 Issued 7/21/2023 <br /> Billing Address: ATTN : LODI UNIFIED SCHOOL DIST <br /> LODI USD-LAKEWOOD SCHOOL <br /> 1305 E VINE ST <br /> LODI CA 95240 <br /> 7027.rpt End of Report <br />