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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 # PT0011074 for Record ID# PR0515751 <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: CHRIST TEMPLE OF STKN FOOD BAN <br /> DBA: DR STALLWORTH SR CHRTR SCHOOLS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DR L STALLWORTH SR CHARTER SCHOOLS Facility ID FA0012326 <br /> 1616 E MAIN ST Account ID AR0020120 <br /> STOCKTON CA 95205 Issued 7/21/2023 <br /> Billing Address: ATTN : DMS: RHONDA KRPAN <br /> DR L STALLWORTH SR CHARTER SCHOOLS <br /> 1451 RIVER PARK DR#180 <br /> SACRAMENTO CA 95815 <br /> 7027.rpt End of Report <br />