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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4242-WASTE WATER TX PLANT <br /> Permit ID# PT0000073 for Record ID#PR0420066 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SEGAL FAMILY TRUST DTD 2/13/92 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0000063 <br /> Regulated Facility: COUNTRY MANOR MHP Account ID AR0000062 <br /> 17251 N TRETHEWAY RD Issued 5/23/2014 <br /> LOCKEFORD CA 95237 <br /> Billing Address: ATTN : LA CUMBRE MANAGEMENT CO <br /> COUNTRY MANOR MHP <br /> 100 N HOPE AVE STE#1 <br /> SANTA BARBARA CA 93110 <br />