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SAN JOAQUIN COUNTY ENvTRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1632 EXEMPT FOOD <br /> Permit.ID# PT0021386 for Record ID#PR0534935 <br /> Valid From 7/1/2011 To 6/30/2012 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HOME CHURCH, THE <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: HOME CHURCH, THE Facility lD FA0014014 <br /> 11451 N WEST LN Account ID AR0023716 <br /> LODI, CA 95242-9452 Issued 5/27/2011 <br /> Billing Address: ATTN : LUKE POLLOCK <br /> HOME CHURCH, THE <br /> 11451 N WEST LANE <br /> F LODI, CA 95242 <br /> �Pt <br />