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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# PT0025000 for Record ID# PR0540769 <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: BANTA ELEMENTARY SCHOOL DISTRICT <br /> DBA: FOOD SERVICES <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: RIVER ISLANDS TECHNOLOGY ACADEMY II Facility ID FA0023303 <br /> 1175 MARINA DR Account ID AR0042906 <br /> LATHROP CA 95330 Issued 7/21/2023 <br /> Billing Address: ATTN : ANDERSON, JAMIE <br /> RIVER ISLANDS TECHNOLOGY ACADEMY II <br /> 22375 EL RANCHO RD <br /> TRACY CA 95304 <br /> 7027.rpt End of Report <br />