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4 <br />SAN JOAQUIN WUNTY ENVIRONMENTAL HEALTH Lis+ARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (2'09) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 3611- PUBLIC POOL/SPA - PRIMARY <br />Permit ID # PT0000075 for Record ID # PR0360334 <br />Valid From 1/1/2014 To 12/31/2014 <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 2/13192 <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: COUNTRY MANOR MHP Facility ID FA0000063 <br />17251 N TRETHEWAY RD <br />Account io AR0000062 <br />LOCKEFORD CA 95237 issued 11/2212013 <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 />7o2c.ni <br />