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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1632 EXEMPT FOOD <br />Permit ID # PT0018443 for Record ID # PR0526416 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />STOCKTON UNIFIED SCHOOL DIST <br />SUSD <br />Regulated Facility: <br />5420 FRED RUSSO DR <br />STOCKTON, CA 95212 <br />Facility ID <br />Account ID <br />Issued <br />FA0017872 <br />AR0031330 <br />6/9/2021 <br />SUSD-GEORGE BUSH ELEMENTARY SCHOOL <br />FOOD SERVICEATTN : Billing Address: <br />SUSD-GEORGE BUSH ELEMENTARY SCHOOL <br />1944 N EL PINAL DR <br />STOCKTON, CA 95205 <br />End of report7024.rpt