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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Haze1ton 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 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br />Permit ID # PT0029597 for Record ID # PR0548849 <br />Valid From 12128/2023 To 12/31/2024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SOUTHER, JACALYN <br />DBA: JACALYN SOUTHER <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: JACALYN SOUTHER <br /> Facility ID FA0027993 <br />9355 E PELTIER RD <br /> Account ID AR0054437 <br />ACAMPO, CA 95220 <br /> <br />Issued 12/28/2023 <br />Billing Address: <br />7024.rpt <br />ATTN : SOUTHER, JACALYN <br />JACALYN SOUTHER <br />PO BOX 598 <br />ACAMPO, CA 95220 <br />End of report